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Individual

DR. ANDREW RICHARD VANCLEVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
951 HIGHWAY 51 N, COVINGTON, TN 38019-1702
(901) 476-1798
(901) 476-1799
Mailing address
1510 MURPHY AVE, COVINGTON, TN 38019-1911
(901) 475-4417
(901) 476-5653

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5586
TN
1835P1200X
Pharmacotherapy Pharmacist
5586
TN

Other

Enumeration date
05/25/2007
Last updated
02/20/2020
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