Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Bradley Smith, PHARMACIST

Individual provider Pharmacist · NPI 1558863209

Mr. Mark Bradley Smith, PHARMACIST is a Pharmacist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2018
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Practice location Address checks out

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Phone: (360) 449-1601
Fax: (360) 896-4467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00015616 (WA)

Record details

NPI number1558863209
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedMarch 7, 2018
Last updated in NPPESMarch 7, 2018

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