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

Mavis Lynne Smith, RPH

Individual provider Pharmacist · NPI 1063734879

Mavis Lynne Smith, RPH is a Pharmacist in Granite City, Illinois. Practices as a sole proprietor. Licensed in Colorado, Illinois and Missouri.

Licensed in
CO, IL, MO
In the registry since
2010
Specialties on file
3
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

3100 Madison Ave
Granite City, IL 62040
Phone: (618) 451-0521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051-034990 (IL)
Pharmacist Taxonomy 183500000X · Licence 0021566 (CO)
Pharmacist Taxonomy 183500000X · Licence 041315 (MO)

Record details

NPI number1063734879
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedFebruary 20, 2010
Last updated in NPPESJuly 14, 2018
Mailing address3100 Madison Ave, Granite City, IL 62040-3651

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