Clinton Pharmacy LLC

NPI #1174087647 in Clinton, Kentucky

Provider Information

NPI Number
1174087647
Entity Type
Organization
Organization Name
Clinton Pharmacy LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jan 29, 2019
Last Updated
Jan 29, 2019

Practice Location

Address
119 E CLAY ST
ZIP Code
42031-1222
Phone
(270) 653-5361

Authorized Official

Name
SHAWN SHAWN BOAZ
Title
PHARMD/OWNER
Phone
(270) 653-5361

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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Provider Name
Commonwealth of Kentucky

Part of Commonwealth of Kentucky

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