Individual
CLAYTON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D, RPH
Contact information
Practice address
104 W LINE AVE, RUSTON, LA 71270-5044
(318) 255-7363
Mailing address
104 W LINE AVE, RUSTON, LA 71270-5044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020595
LA
Other
Enumeration date
07/08/2014
Last updated
07/12/2022
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