Provider Demographics
NPI:1649332560
Name:ZIESKE-SMITH, VALERIE KAY (RPH)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:KAY
Last Name:ZIESKE-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 1:12200 OELKE RD
Mailing Address - Street 2:
Mailing Address - City:MAYBEE
Mailing Address - State:MI
Mailing Address - Zip Code:48159-9779
Mailing Address - Country:US
Mailing Address - Phone:734-529-5803
Mailing Address - Fax:
Practice Address - Street 1:730 N MACOMB ST STE 305
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2904
Practice Address - Country:US
Practice Address - Phone:734-240-4100
Practice Address - Fax:734-240-4110
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027759183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist