Provider Demographics
NPI:1417140310
Name:SMITH, HOPE DENISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HOPE
Middle Name:DENISE
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:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:CAMPTON
Mailing Address - State:KY
Mailing Address - Zip Code:41301-0249
Mailing Address - Country:US
Mailing Address - Phone:606-668-3900
Mailing Address - Fax:606-668-3925
Practice Address - Street 1:237 MOUNTAIN PARKWAY SPUR
Practice Address - Street 2:
Practice Address - City:CAMPTON
Practice Address - State:KY
Practice Address - Zip Code:41301
Practice Address - Country:US
Practice Address - Phone:606-668-3900
Practice Address - Fax:606-668-3925
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013645183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist