Organization
CLINTON PHARMACY LLC
Active
Other names
Clinton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAWN BOAZ PHARMD (OWNER/PHARMACIST)
(270) 254-6667
Entity
Organization
Contact information
Practice address
119 E CLAY ST, CLINTON, KY 42031-1222
(270) 653-5361
(270) 653-5511
Mailing address
119 E CLAY ST, CLINTON, KY 42031-1222
(270) 653-5361
(270) 653-5511
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
P01865
KY
3336C0003X
Community/Retail Pharmacy
Primary
P07839
KY
Other
Enumeration date
02/26/2017
Last updated
09/05/2017
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