Astin, Clark Thomas

Astin, Clark Thomas is an individual health care provider with primary practice located at 241 Billy Dyar Blvd , Boaz AL 35957-7102. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Astin, Clark Thomas can be contacted via phone (256) 840-1100.

Contact Information

Primary practice address
241 Billy Dyar Blvd Boaz AL 35957-7102
Phone: (256) 840-1100
Fax: (256) 840-1119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9447 Alabama

Profile Details

NPI number 1619057833
LBN Legal business name Astin, Clark Thomas
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619057833 NPPES
Alabama MEDICAID 100003516

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