MEDICARE: AUDRA CLIFTON PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15891	AL

General Provider Information

NPI Number	:	1750666822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDRA CLIFTON PHARMD

Provider Business Mailing Address
First Line	:	16468 HIGHWAY 280
Second Line	:
City	:	CHELSEA
State	:	AL
Zip	:	35043-8336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 GREEN VALLEY RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5237
Country	:	US
Telephone Number	:	205-967-7483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	07/14/2022

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