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Individual

CLAY WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
370 DIEDERICH BLVD, ASHLAND, KY 41101-7008
(606) 325-0611
(606) 326-1021
Mailing address
7058 APPLEWOOD DR, CATLETTSBURG, KY 41129-9278
(606) 739-9357

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010901
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010901
STATE LICENSE NUMBER
KY
Enumeration date
12/21/2010
Last updated
12/21/2010
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