Provider Demographics
NPI:1336810589
Name:CRONIN, CLINTON M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:M
Last Name:CRONIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1701 N LOIS AVE UNIT 374
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2425
Mailing Address - Country:US
Mailing Address - Phone:407-773-3174
Mailing Address - Fax:
Practice Address - Street 1:34650 US HIGHWAY 19 N STE 101
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2155
Practice Address - Country:US
Practice Address - Phone:727-787-2273
Practice Address - Fax:727-787-0044
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS603131835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist