Individual
MR. CLARK THOMAS ASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
241 BILLY DYAR BLVD, BOAZ, AL 35957-7102
(256) 840-1100
(256) 840-1119
Mailing address
241 BILLY DYAR BLVD, BOAZ, AL 35957-7102
(256) 840-1100
(256) 840-1119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9447
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003516
—
AL
Enumeration date
10/16/2006
Last updated
07/09/2007
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