Provider Demographics
NPI:1336751700
Name:SMITH, COLIN ASHTON (PHARM D)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:ASHTON
Last Name:SMITH
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 1:7320 CLINTON HWY
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-5205
Mailing Address - Country:US
Mailing Address - Phone:865-947-4232
Mailing Address - Fax:
Practice Address - Street 1:7320 CLINTON HWY
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-5205
Practice Address - Country:US
Practice Address - Phone:865-947-4232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist