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Individual

PHILIP MICHAEL MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2318 FREDERICA ST, OWENSBORO, KY 42301-4826
(270) 686-7873
Mailing address
2318 FREDERICA ST, OWENSBORO, KY 42301-4826
(270) 686-7873

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020188
KY
183500000X
Pharmacist
03438344
OH
183500000X
Pharmacist
26027842A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020188
KENTUCKY BOARD OF PHARMACY
KY
01
03438344
OHIO BOARD OF PHARMACY
OH
01
26027842A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
02/22/2019
Last updated
02/22/2019
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