Individual
MR. CLARENCE MCNEIL VAUGHN RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1821 S VALLEY MILLS DR, WACO, TX 76711-2118
(254) 757-3344
Mailing address
1821 S VALLEY MILLS DR, WACO, TX 76711-2118
(254) 757-3344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54807
TX
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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