Smith, Mavis Lynne
Smith, Mavis Lynne is an sole proprietor health care provider with primary practice located at 3100 Madison Ave , Granite City IL 62040. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Smith, Mavis Lynne can be contacted via phone (618) 451-0521.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0021566 | Colorado |
| Pharmacy Service Providers / Pharmacist | 183500000X | 041315 | Missouri |
| Pharmacy Service Providers / Pharmacist | 183500000X | 051-034990 | Illinois |
Profile Details
| NPI number | 1063734879 |
|---|---|
| LBN Legal business name | Smith, Mavis Lynne |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2010 |
| Last updated | Jul 14th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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