DR. CLINTON THACKERAY
Pharmacist
Active
Individual
NPI: 1780937151
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist | 183500000X | Yes | P6368 (ID) |
Frequently Asked Questions
NPI 1780937151 is the National Provider Identifier for DR. CLINTON THACKERAY, a Pharmacist provider located in Rigby, ID. This NPI was enumerated on October 22, 2012.
DR. CLINTON THACKERAY practices at 150 N STATE ST, Rigby, ID 83442.
Quick Facts
- NPI
- 1780937151
- Type
- Individual
- Enumerated
- Oct 22, 2012
- Last Updated
- Apr 19, 2016
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