Individual
CLINT CODY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2111 HIGHWAY 72 N, LOUDON, TN 37774-5719
(865) 458-9938
Mailing address
2111 HIGHWAY 72 N, LOUDON, TN 37774-5719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40217
TN
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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