| NPI | 1396872057 |
|---|---|
| Doing Business As | CLINTON DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | JIMMY MCBRIDE Pharmacist And Owner 865-457-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 2272) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2017-02-21 |