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Individual

MR. RICKEY EDWIN CLAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
474 HIGHWAY 67 S, DECATUR, AL 35603-6300
(256) 353-0100
(256) 353-0299
Mailing address
474 HIGHWAY 67 S, DECATUR, AL 35603-6300

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9111
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002689
AL
Enumeration date
03/19/2008
Last updated
12/17/2020
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