Individual
CLIFTON CLEVELAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
402 S 6TH ST, VINCENNES, IN 47591-1023
(812) 882-6193
(812) 882-6186
Mailing address
3212 E HAZELWOOD DR, VINCENNES, IN 47591-6134
(812) 882-6193
(812) 882-6186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013527A
IN
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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