Provider Demographics
NPI:1821346867
Name:SMITH, ARQUILLA P (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ARQUILLA
Middle Name:P
Last Name:SMITH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1873 LANTANA RD
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2601
Mailing Address - Country:US
Mailing Address - Phone:561-533-5522
Mailing Address - Fax:561-586-3487
Practice Address - Street 1:1873 LANTANA RD
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-2601
Practice Address - Country:US
Practice Address - Phone:561-533-5522
Practice Address - Fax:561-586-3487
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist