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Individual

DR. CLYDE EDMUND SPENCE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, MBA

Contact information

Practice address
3200 MACCORKLE AVE SE, DEPT OF PHARMACY & DRUG INFORMATION, CHARLESTON, WV 25304-1227
(304) 388-4716
(304) 388-4717
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4716
(304) 388-4717

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6391
WV

Other

Enumeration date
01/26/2006
Last updated
03/20/2010
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