DR. Clinton J Thackeray

NPI #1780937151 in Rigby, Idaho

Provider Information

NPI Number: 1780937151
Entity Type: Individual
Name: DR. Clinton J Thackeray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 22, 2012
Last Updated: Apr 19, 2016

Practice Location

Address: 150 N STATE ST
City: Rigby
State: Idaho
ZIP Code: 83442-1443
Phone: (208) 745-0267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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