Molly C Smith, PHARMD
Individual provider Active NPI Pharmacist · Desloge, MO
NPI 1700513280 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1700513280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2022030497 (MO)
- Practice address
- 1131 N Desloge Dr
Desloge, MO 63601-2936 - Phone
- (573) 431-6677
- Fax
- (573) 431-3833
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022030497 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2022030497 | MO | Yes |
Addresses
Primary practice location
1131 N Desloge Dr
Desloge, MO 63601-2936
Mailing address
1131 N Desloge Dr
Desloge, MO 63601-2936
Phone (573) 431-6677
Other names
- Molly C Umfleet
Other providers in Desloge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.