Individual
DANIEL J CLEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
355 E MAIN ST, LEXINGTON, OH 44904-1336
(419) 884-6107
Mailing address
818 BRYONAIRE RD, APT.B, MANSFIELD, OH 44903-9111
(740) 705-2393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03230510
OH
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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