Provider Demographics
NPI:1801407721
Name:SMITH, BRETT T (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:T
Last Name:SMITH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 NAAMANS RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3020
Mailing Address - Country:US
Mailing Address - Phone:302-246-1933
Mailing Address - Fax:302-246-1939
Practice Address - Street 1:1601 NAAMANS RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3020
Practice Address - Country:US
Practice Address - Phone:302-246-1933
Practice Address - Fax:302-246-1939
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0005507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist