Provider Demographics
NPI:1447574520
Name:SMITH, CRAIG A (RPH)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:A
Last Name:SMITH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4808
Mailing Address - Country:US
Mailing Address - Phone:717-843-0197
Mailing Address - Fax:717-843-0865
Practice Address - Street 1:2101 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4808
Practice Address - Country:US
Practice Address - Phone:717-843-0197
Practice Address - Fax:717-843-0865
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045070R183500000X
OH03212590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist