Provider Demographics
NPI:1689968679
Name:TRUE, CLAIRE DIANE (RPH)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:DIANE
Last Name:TRUE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3909 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5939
Mailing Address - Country:US
Mailing Address - Phone:432-366-1913
Mailing Address - Fax:432-366-1913
Practice Address - Street 1:3909 E 42ND ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5939
Practice Address - Country:US
Practice Address - Phone:432-366-1913
Practice Address - Fax:432-366-1913
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist