Clark Thomas Astin is a Pharmacist in Boaz, Alabama. Clark Thomas Astin practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Clark Thomas Astin is 1619057833. The last update date is 2007-07-09.
Clark Thomas Astin's current location address is 241 Billy Dyar Blvd, Boaz, Alabama. You can contact this provider via phone number 2568401100 and fax number 2568401119. The mailing address for Clark Thomas Astin is 241 Billy Dyar Blvd, Boaz, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Thomas Astin |
|---|---|
| Address | 241 Billy Dyar Blvd, Boaz, Alabama |
| Phone Number | 2568401100 |
| Fax Number | 2568401119 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1619057833 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 241 Billy Dyar Blvd |
|---|---|
| City | Boaz |
| State | Alabama (AL) |
| Post Code | 359577102 |
| Phone Number | 2568401100 |
| Fax Number | 2568401119 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 9447 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100003516 | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clark Thomas Astin by the Centers for Medicare & Medicaid Services (CMS)?
The Clark Thomas Astin has been assigned the NPI (National Provider Identifier) 1619057833. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Clark Thomas Astin?
The Clark Thomas Astin is situated at 241 Billy Dyar Blvd, in the city of Boaz, state of AL, with the zip code 359577102.
What is the Clark Thomas Astin's specialty and taxonomy code?
The Clark Thomas Astin's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
When was the Clark Thomas Astin's 1619057833 issued?
The Clark Thomas Astin's 1619057833 was issued on 2006-10-16.
When was the Clark Thomas Astin's information last updated?
The Clark Thomas Astin's information was last updated on 2007-07-09.