Provider Demographics
NPI:1851675516
Name:SMITH, PAMELA SWANNER (RPH)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SWANNER
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 1:120 WESTON OAKS CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2256
Mailing Address - Country:US
Mailing Address - Phone:800-850-4306
Mailing Address - Fax:800-823-4506
Practice Address - Street 1:120 WESTON OAKS CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2256
Practice Address - Country:US
Practice Address - Phone:800-850-4306
Practice Address - Fax:800-823-4506
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC166191835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology