Individual
MR. CLINT ALLAN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
570 ENON SPRINGS RD E, SMYRNA, TN 37167-4409
(615) 355-0805
Mailing address
5420 PISANO ST, MOUNT JULIET, TN 37122-1542
(615) 975-0602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33611
TN
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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