Provider Demographics
NPI:1740615624
Name:SMITH, ELIZABETH BALDWIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BALDWIN
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 1:9508 OTTAWA DR
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-6495
Mailing Address - Country:US
Mailing Address - Phone:334-559-1664
Mailing Address - Fax:
Practice Address - Street 1:101 GREENO RD S
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2019
Practice Address - Country:US
Practice Address - Phone:251-900-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist