Individual
CLARENCE EDWARD HENLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
834 BARNES CROSSING RD, TUPELO, MS 38804-0909
(662) 840-8462
Mailing address
20116 OLD HIGHWAY 8, ABERDEEN, MS 39730-9534
(662) 436-7181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16068
MS
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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