Provider Demographics
NPI:1437452265
Name:SMITH, PAULA PARSONS (RPH)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:PARSONS
Last Name:SMITH
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 1:1236 DUTCH HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:RAPHINE
Mailing Address - State:VA
Mailing Address - Zip Code:24472-2010
Mailing Address - Country:US
Mailing Address - Phone:540-348-9999
Mailing Address - Fax:540-464-1160
Practice Address - Street 1:422 E NELSON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2729
Practice Address - Country:US
Practice Address - Phone:540-464-1600
Practice Address - Fax:540-464-1160
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist