Provider Demographics
NPI:1649020751
Name:SMITH, ALEXANDER NATHANIEL (RPH)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:NATHANIEL
Last Name:SMITH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ABBOTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17301-9746
Mailing Address - Country:US
Mailing Address - Phone:717-521-4183
Mailing Address - Fax:
Practice Address - Street 1:231 WEST ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2510
Practice Address - Country:US
Practice Address - Phone:717-334-6447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist