Provider Demographics
NPI:1356645113
Name:SMITH, DOUGLAS LAMONT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:LAMONT
Last Name:SMITH
Suffix:
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:1751 WARDENSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:STAR TANNERY
Mailing Address - State:VA
Mailing Address - Zip Code:22654-1831
Mailing Address - Country:US
Mailing Address - Phone:540-465-9029
Mailing Address - Fax:540-542-6298
Practice Address - Street 1:1775 N SECTOR CT
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2859
Practice Address - Country:US
Practice Address - Phone:540-678-4396
Practice Address - Fax:540-542-6298
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA02020060941835N1003X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support