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General NPI Number Information
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NPI Number | 1295645166
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Entity Type | Organization
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Legal Business Name | CLAYTON PHARMA LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 1800 PHOENIX BLVD STE 208
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City | COLLEGE PARK
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State | GA
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Zip | 30349-5557
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Country | US
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Telephone | 678-759-3952
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 PHOENIX BLVD STE 208
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City | COLLEGE PARK
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State | GA
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Zip | 30349-5557
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SRIKANTH RAMINENI
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Credential |
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Telephone | 770-630-3623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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