Healthcare Provider Details

I. General information

NPI: 1386799716
Provider Name (Legal Business Name): MCCLURE DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 EASTERN BLVD
CLARKSVILLE IN
47129-2453
US

IV. Provider business mailing address

627 EASTERN BLVD
CLARKSVILLE IN
47129-2453
US

V. Phone/Fax

Practice location:
  • Phone: 812-283-7941
  • Fax: 812-283-0459
Mailing address:
  • Phone: 812-283-7941
  • Fax: 812-283-0459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26016084
License Number StateIN

VIII. Authorized Official

Name: RICHARD WARREN TONEY
Title or Position: PHARMACIST IN CHARGE
Credential: RPH
Phone: 812-283-7941