MR. Clarence Lee Middleton, RPH
NPI #1043749070 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1043749070
- Entity Type
- Individual
- Name
- MR. Clarence Lee Middleton, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy
- Credential
- RPH
- Enumeration Date
- Jun 4, 2017
- Last Updated
- Jun 4, 2017
Practice Location
- Address
- 122 S FRONT ST
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-3118
- Phone
- (601) 477-8587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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