Individual
CLAYTON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4750 E 450 S, WHITESTOWN, IN 46075-8404
(877) 783-2262
(888) 302-1028
Mailing address
4750 E 450 S, WHITESTOWN, IN 46075-8404
(877) 783-2262
(888) 302-1028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2608312A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26028312A
PHARMACIST STATE LICENSE
IN
Enumeration date
03/20/2020
Last updated
06/30/2023
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