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Individual

MR. CLARENCE RONALD TRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1267 MAIN ST, RITE AID PHARMACY, SNEEDVILLE, TN 37869
(423) 733-2203
(423) 733-4211
Mailing address
1267 MAIN ST, RITE AID PHARMACY, SNEEDVILLE, TN 37869
(423) 733-2203
(423) 733-4211

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5163
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5163
TENNESSEE PHARMACIST LICENSE #
TN
Enumeration date
11/29/2011
Last updated
11/29/2011
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