Individual
CLARENCE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
Mailing address
14 CEDAR ST, DUXBURY, MA 02332-3837
(617) 947-2315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11440
LA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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