Individual
DR. CLINT D PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
301 JONESBORO RD, MCDONOUGH, GA 30253-3725
(770) 954-7370
Mailing address
236 BARNES RD, JACKSON, GA 30233-5481
(770) 402-0903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025592
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH025592
BOARD OF PHARMACY
GA
Enumeration date
10/13/2020
Last updated
10/13/2020
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