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Individual

DR. CLAYTON MAXFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1A DOCUMENT DR, SAINT LOUIS, MO 63114-6110
(314) 961-4405
(314) 961-4010
Mailing address
7580 WATSON RD, SAINT LOUIS, MO 63119-4409
(314) 475-5520
(314) 475-5508

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016026622
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016026622
PHARMACIST LICENSE
MO
Enumeration date
12/29/2020
Last updated
12/09/2024
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