Individual
DAVID BARRY CLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
CORNER OF LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 439-6245
Mailing address
PO BOX 70657, JOHNSON CITY, TN 37614-1701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18863
LA
183500000X
Pharmacist
21285
NC
183500000X
Pharmacist
Primary
36171
TN
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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