Individual
CLAYTON JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3313 W STATE ROAD 45, BLOOMINGTON, IN 47403-5107
(812) 335-0060
Mailing address
2740 FIRE STATION RD, MARTINSVILLE, IN 46151-8242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024574A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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