Smith, Clarence William

Smith, Clarence William is an individual health care provider with primary practice located at 100 W 3Rd St Suite A, Cookeville TN 38501-2409. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Smith, Clarence William can be contacted via phone (931) 526-4612.

Contact Information

Primary practice address
100 W 3Rd St Suite A Cookeville TN 38501-2409
Phone: (931) 526-4612
Fax: (931) 372-9093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4338 Tennessee

Profile Details

NPI number 1255323689
LBN Legal business name Smith, Clarence William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 8th, 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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