Provider Demographics
NPI:1952678864
Name:SMART, CRAIG LEWIS (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:LEWIS
Last Name:SMART
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 HEMINGWAY AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-2660
Mailing Address - Country:US
Mailing Address - Phone:406-698-9397
Mailing Address - Fax:
Practice Address - Street 1:2290 KING AVE W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7415
Practice Address - Country:US
Practice Address - Phone:406-652-8556
Practice Address - Fax:406-656-4069
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-20
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4860183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist