Provider Demographics
NPI:1184931818
Name:STRICKLAND-SMITH, PAIGE WARD
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:WARD
Last Name:STRICKLAND-SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:WARD
Other - Last Name:STRICKLAND-SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1101 WOODS COURT
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557
Mailing Address - Country:US
Mailing Address - Phone:910-640-6923
Mailing Address - Fax:
Practice Address - Street 1:301 PENNY LANE
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557
Practice Address - Country:US
Practice Address - Phone:252-726-0777
Practice Address - Fax:252-726-6497
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC20393OtherPHARMACIST LICENSE