Provider Demographics
NPI:1932285806
Name:SMITH, CURTIS LLOYD (PHARMD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:LLOYD
Last Name:SMITH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13905 FOREST HILL RD
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9253
Mailing Address - Country:US
Mailing Address - Phone:517-626-2534
Mailing Address - Fax:
Practice Address - Street 1:1215 E. MICHIGAN AVE.
Practice Address - Street 2:SPARROW HOSPITAL, PHARMACY DEPARTMENT
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-364-3579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024108971835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy