Provider Demographics
NPI:1801108477
Name:CLAUD, JOHN DEE JR (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DEE
Last Name:CLAUD
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:1330 US HIGHWAY 41 W
Mailing Address - Street 2:
Mailing Address - City:ISHPEMING
Mailing Address - State:MI
Mailing Address - Zip Code:49849-3152
Mailing Address - Country:US
Mailing Address - Phone:906-485-5592
Mailing Address - Fax:906-485-4480
Practice Address - Street 1:1330 US HIGHWAY 41 W
Practice Address - Street 2:
Practice Address - City:ISHPEMING
Practice Address - State:MI
Practice Address - Zip Code:49849-3152
Practice Address - Country:US
Practice Address - Phone:906-485-5592
Practice Address - Fax:906-485-4480
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-11
Last Update Date:2010-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5302032445183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist