Individual
MRS. TRACEY LYNN CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2025 MERCHANT MILE, COLUMBUS, IN 47201-1572
(812) 376-9385
(812) 376-9417
Mailing address
7162 W SR 46, COLUMBUS, IN 47201
(812) 447-1206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017715A
IN
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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