Provider Demographics
NPI:1821263286
Name:SMITH, DEANNA CAROL (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:CAROL
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 1:2049 NORTHUMBRIA DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6477
Mailing Address - Country:US
Mailing Address - Phone:407-687-0760
Mailing Address - Fax:
Practice Address - Street 1:1490 SUNSHADOW DR STE 3020
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-9055
Practice Address - Country:US
Practice Address - Phone:855-497-7956
Practice Address - Fax:855-497-7957
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS350301835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist