Provider Demographics
NPI:1417084153
Name:FRIED-SMITH, BARBARA JEANNINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEANNINE
Last Name:FRIED-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 1:7215 DEER CANYON AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2277
Mailing Address - Country:US
Mailing Address - Phone:505-923-5351
Mailing Address - Fax:
Practice Address - Street 1:2501 BUENA VISTA DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4260
Practice Address - Country:US
Practice Address - Phone:505-923-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM59321835P1200X
AZ135661835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy