| NPI | 1568902427 |
|---|---|
| Doing Business As | CLINTON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN BOAZ Owner/Pharmacist 270-254-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07839) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P01865) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2017-09-05 |