Provider Demographics
NPI:1275137473
Name:SMITH, BRITTNEY NICHOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:NICHOLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 37TH STREET CT W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-9153
Mailing Address - Country:US
Mailing Address - Phone:941-284-6611
Mailing Address - Fax:
Practice Address - Street 1:1220 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9692
Practice Address - Country:US
Practice Address - Phone:941-966-5667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS58276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist