Jerry J. Smith, DPH

Pharmacist · Stilwell, OK

Individual Active NPI

NPI number 1770817595

Practice location

RR 2 Box 93
Stilwell, OK 74960
Phone
(918) 696-8800

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NPI record

NPI
1770817595
Entity type
Individual (Type 1)
Enumeration date
September 25, 2009
Last updated
September 25, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 8893 OK
Pharmacist 183500000X 9041 KS

Mailing address

402 Greenwood Dr
Tahlequah, OK 74464-4815
Phone
(918) 207-7071

About Jerry Smith

Jerry J. Smith, DPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is RR 2 Box 93, Stilwell, OK 74960. The NPI number 1770817595 was assigned on September 25, 2009 and the record was last updated on September 25, 2009.

Jerry Smith lists 2 licenses in the registry: #8893 (OK) for Pharmacist; #9041 (KS) 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 Jerry J. Smith, DPH?

The NPI number is 1770817595.

What is the phone number of Jerry Smith?

The phone number listed for the practice location is (918) 696-8800.

Where is Jerry Smith located?

RR 2 Box 93, Stilwell, OK 74960.

What is the taxonomy code for Jerry Smith?

The primary taxonomy code is 183500000X – Pharmacist; 1 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.

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