Clinton Inman, PH. T.
Individual provider Active NPI Pharmacy Technician · Christopher, IL
NPI 1336718485 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1336718485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 049231693 (IL)
- Practice address
- 4241 Highway 14 W
Christopher, IL 62822-1037 - Phone
- (618) 724-1684
- NPI assigned
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049231693 | IL | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 049231693 | IL | Yes |
Addresses
Primary practice location
4241 Highway 14 W
Christopher, IL 62822-1037
Mailing address
4241 Highway 14 W
Christopher, IL 62822-1037
Phone (618) 724-1684
Other providers in Christopher, IL
- Artemus Holguin-Mills
- Melanie Hooker
- Juanita M House
- Rhonda Sue Huff
- Angela Humphrey
- James C Corzine Corzine Chiropractic Office
- Durr-I-Shahwar Javed
- Gloria J Jenkins
- Michelle Elizabeth Jenkins
- Bethany Johnson
All providers in Christopher, IL · Pharmacy Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.