Individual
DR. CLARENCE LEE CLODFELTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1840 TAPPAHANNOCK BLVD, TAPPAHANNOCK, VA 22560
(804) 443-4709
Mailing address
9440 OTTOWAY CT, TOANO, VA 23168-9369
(757) 593-1924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207903
VA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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