Individual
DR. JEFFREY VAN CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
301 US 70, RUTHERFORD COLLEGE, NC 28671
(828) 874-2119
Mailing address
109 HOYLE ST, MORGANTON, NC 28655-5100
(828) 430-8895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16912
NC
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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