Individual
HALDEN VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 366-3527
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 366-3527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03136067
OH
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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