Provider Demographics
NPI:1316772221
Name:SMITH, DANIELLE ROSEMARIE (PHARMD, MSM)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ROSEMARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD, MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 SWEET BAY CIR
Mailing Address - Street 2:
Mailing Address - City:EASTPOINT
Mailing Address - State:FL
Mailing Address - Zip Code:32328-3694
Mailing Address - Country:US
Mailing Address - Phone:352-363-9151
Mailing Address - Fax:
Practice Address - Street 1:139 AVENUE E
Practice Address - Street 2:
Practice Address - City:APALACHICOLA
Practice Address - State:FL
Practice Address - Zip Code:32320-2000
Practice Address - Country:US
Practice Address - Phone:850-653-8737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist