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General NPI Number Information
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NPI Number | 1811332257
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Entity Type | Organization
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Legal Business Name | CLUTCH HEALTH PHARMACY INC.
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 805 US HIGHWAY 83 N
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City | CHILDRESS
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State | TX
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Zip | 79201-2318
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Country | US
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Telephone | 940-937-9030
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Fax | 940-937-9010
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Provider Business Mailing Address
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Address Line | 805 US HIGHWAY 83 N
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City | CHILDRESS
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State | TX
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Zip | 79201-2318
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Country | US
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Telephone | 940-937-9030
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Fax | 940-937-9010
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Authorized Official
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Title or Position | OWNER
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Name | REUBEN BUCKAREFF
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Credential |
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Telephone | 806-714-4124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28509
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License Number State |
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