Individual
CLINTON INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. T.
Contact information
Practice address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-1684
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-1684
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049231693
IL
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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