Provider Demographics
NPI:1255644605
Name:SMITH, JAMES DOWD (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DOWD
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 1:1110 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-2607
Mailing Address - Country:US
Mailing Address - Phone:910-276-6445
Mailing Address - Fax:
Practice Address - Street 1:1110 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-2607
Practice Address - Country:US
Practice Address - Phone:910-276-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist