Individual
CHARLES CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 232-1730
Mailing address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 232-1730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022433A
IN
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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