Provider Demographics
NPI:1760852537
Name:SMITH, LAUREN ST COLUMBIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ST COLUMBIA
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 1:8 WESTHAVEN PL
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-1781
Mailing Address - Country:US
Mailing Address - Phone:901-661-0613
Mailing Address - Fax:
Practice Address - Street 1:541 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-1724
Practice Address - Country:US
Practice Address - Phone:731-968-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist