# CLIO COMMUNITY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clio Community Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649027434
- **Authorized official:** RONALD TODD FOSKETT (PHARMACIST IN CHARGE)
- **Authorized official phone:** (810) 547-7201

## Contact information

- **Practice address:** 4180 W VIENNA RD STE 4, CLIO, MI 48420-9497
- **Practice address phone:** (810) 547-7201
- **Practice address fax:** (810) 309-9075
- **Mailing address:** 4180 W VIENNA RD STE 4, CLIO, MI 48420-9497
- **Mailing address phone:** (810) 547-7201
- **Mailing address fax:** (810) 309-9075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2024
- **Last updated:** 05/01/2024