Mavis Smith, RPH
NPI 1063734879 · Pharmacist · Granite City, IL
Mavis Smith, RPH is a Pharmacist provider in Granite City, IL (NPI 1063734879).
Provider details
- NPI number
- 1063734879
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0021566 (CO)
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-02-20
- Last updated
- 2018-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.