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

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

Practice location Address checks out

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Phone: (360) 449-1601
Fax: (360) 896-4467
Show map & directions

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
Mailing address12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055

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