Individual
MRS. TANYA MCGINNIS VAN CLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
601 SNOW ST, OXFORD, AL 36203-1270
(256) 831-7535
(256) 831-4461
Mailing address
601 SNOW ST, OXFORD, AL 36203-1270
(256) 831-7535
(256) 831-4461
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12761
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12761
PHARMACY LICENSE
AL
Enumeration date
07/23/2017
Last updated
07/21/2022
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