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Individual

DR. CLAYTON BEAUMAN DICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1412 COUNTY HOSPITAL RD, NASHVILLE, TN 37218-3007
(615) 687-2568
Mailing address
1412 COUNTY HOSPITAL RD, NASHVILLE, TN 37218-3007
(615) 687-2568

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
14780
AL
183500000X
Pharmacist
Primary
27477
TN
183500000X
Pharmacist
RPH022081
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4241768
BLUE CROSS / BLUE SHIELD OF TENNESSEE
TN
Enumeration date
07/07/2005
Last updated
11/10/2016
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