Provider Demographics
NPI:1770898942
Name:SMITH, LASHON THERESE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:LASHON
Middle Name:THERESE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 S CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3012
Mailing Address - Country:US
Mailing Address - Phone:504-861-5033
Mailing Address - Fax:504-861-7319
Practice Address - Street 1:2418 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3012
Practice Address - Country:US
Practice Address - Phone:504-861-5033
Practice Address - Fax:504-861-7319
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist