Individual
EARL CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
OLD ROUTE 119, MOUNT GAY, WV 25637
(304) 752-1445
(304) 752-1468
Mailing address
2428 ASTARITA WAY, LEXINGTON, KY 40509-4463
(859) 523-2613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP 0003750
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138875000
—
WV
Enumeration date
11/24/2006
Last updated
07/08/2007
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