Individual
DR. KENEKO T CLAYBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
11630 HIGHWAY 51 S, ATOKA, TN 38004-7129
(901) 837-5011
(901) 837-5014
Mailing address
291 W HARMONY DR, MASON, TN 38049-5704
(901) 481-8107
(901) 837-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33753
TN
183500000X
Pharmacist
E-010629
MS
183500000X
Pharmacist
PD11217
AR
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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