Provider Demographics
NPI:1477807055
Name:CLEM, CORTNEY JO (PHARMD)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:JO
Last Name:CLEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7735 FARMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2901
Mailing Address - Country:US
Mailing Address - Phone:901-754-5124
Mailing Address - Fax:901-751-7497
Practice Address - Street 1:11635 HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-9778
Practice Address - Country:US
Practice Address - Phone:901-290-9270
Practice Address - Fax:901-751-7497
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN324711835P0018X
AL15571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist