Provider Demographics
NPI:1942340708
Name:SMITH, DANNY L (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:L
Last Name:SMITH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 E VAN BUREN
Mailing Address - Street 2:
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-3653
Mailing Address - Country:US
Mailing Address - Phone:479-253-9175
Mailing Address - Fax:479-253-8460
Practice Address - Street 1:137 E VAN BUREN
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-3653
Practice Address - Country:US
Practice Address - Phone:479-253-9175
Practice Address - Fax:479-253-8460
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6924183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist