Organization
CLINTON PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SHAWN BOAZ (PHARMD/OWNER)
(270) 653-5361
Entity
Organization
Contact information
Practice address
119 E CLAY ST, CLINTON, KY 42031-1222
(270) 653-5361
(270) 653-5511
Mailing address
119 E CLAY ST, CLINTON, KY 42031-1222
(270) 653-5361
(270) 653-5511
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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