Provider Demographics
NPI:1124454095
Name:SMEELINK, PATRICIA ANN (RPH)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:SMEELINK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 ASPENWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-9324
Mailing Address - Country:US
Mailing Address - Phone:616-822-4184
Mailing Address - Fax:
Practice Address - Street 1:4550 CASCADE RD SE
Practice Address - Street 2:WALGREENS
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546
Practice Address - Country:US
Practice Address - Phone:616-957-8934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI25020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist