| NPI | 1235624875 |
|---|---|
| Doing Business As | CLINTON DRUG |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BUTLER President 479-783-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG01810) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AR MG01810) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR MG01810) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: AR MG01810) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |