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Mavis Smith, RPH

NPI 1063734879 · on the registry since 2010 · sole proprietor

Practice

Address
3100 Madison Ave
Granite City, IL 62040
Phone
(618) 451-0521
Organisation at this address
Highland Park Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
183500000X
Licence states on file
CO, MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois