Individual
GREG CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E MAIN ST, HEBRON, OH 43025-8006
(740) 928-0795
Mailing address
1321 HAROLD STEWART PKWY, PATASKALA, OH 43062-7595
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03324067
OH
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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