Provider Demographics
NPI:1023277282
Name:SMITH, ARTHUR JOSEPH (PHARMACIST)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:SMITH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7607 TRILLIUM BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-5207
Mailing Address - Country:US
Mailing Address - Phone:941-922-3212
Mailing Address - Fax:941-921-5451
Practice Address - Street 1:1590 US41 VENICE BYPASS
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-1033
Practice Address - Country:US
Practice Address - Phone:941-493-6340
Practice Address - Fax:941-497-6997
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 41824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist