Individual
CLAYTON PATROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-3894
Mailing address
600 CREEKVALLEY RD, LOUISVILLE, KY 40243-2183
(920) 470-4720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020914
KY
1835P2201X
Ambulatory Care Pharmacist
020914
KY
Other
Enumeration date
07/08/2015
Last updated
09/26/2022
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