Individual
CLENNY EDWARD TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1520 S. VALLEY MILLS DR., BEVELY HILLS, TX 76711
(254) 752-3986
(254) 752-4097
Mailing address
PO BOX 1276, WHITNEY, TX 76692-1276
(254) 675-4047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20523
TX
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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