Mavis Lynne Smith, RPH

Pharmacist · Granite City, IL

Individual Active NPI

NPI number 1063734879

Practice location

3100 Madison Ave
Granite City, IL 62040
Phone
(618) 451-0521

Open in Google Maps

NPI record

NPI
1063734879
Entity type
Individual (Type 1)
Enumeration date
February 20, 2010
Last updated
July 14, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051-034990 IL
Pharmacist 183500000X 0021566 CO
Pharmacist 183500000X 041315 MO

Mailing address

3100 Madison Ave
Granite City, IL 62040-3651
Phone
(618) 451-0521
Fax
(618) 451-0522

About Mavis Smith

Mavis Lynne Smith, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3100 Madison Ave, Granite City, IL 62040. The NPI number 1063734879 was assigned on February 20, 2010 and the record was last updated on July 14, 2018.

Mavis Smith lists 3 licenses in the registry: #051-034990 (IL) for Pharmacist; #0021566 (CO) for Pharmacist; #041315 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mavis Lynne Smith, RPH?

The NPI number is 1063734879.

What is the phone number of Mavis Smith?

The phone number listed for the practice location is (618) 451-0521.

Where is Mavis Smith located?

3100 Madison Ave, Granite City, IL 62040.

What is the taxonomy code for Mavis Smith?

The primary taxonomy code is 183500000X – Pharmacist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Granite City

All Pharmacist providers in Granite City, IL →