Provider Demographics
NPI:1477285724
Name:SMITH, ARACELI MADRIGAL (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:ARACELI
Middle Name:MADRIGAL
Last Name:SMITH
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15552 BORGES DR
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-3256
Mailing Address - Country:US
Mailing Address - Phone:805-320-5649
Mailing Address - Fax:
Practice Address - Street 1:2400B LAS POSAS RD
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3439
Practice Address - Country:US
Practice Address - Phone:805-482-2135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician