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Organization

CLAYTON PHARMACY SERVICES

Active
Other names
Clayton Drug
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER CLAYTON (TREASURER/SECRETARY)
(319) 939-2569
Entity
Organization

Contact information

Practice address
104 W MISSION ST, STRAWBERRY POINT, IA 52076-4400
(563) 933-4762
(563) 933-9909
Mailing address
104 W MISSION ST, STRAWBERRY POINT, IA 52076-4400
(563) 933-4762
(563) 933-9909

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
68
IA
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2133582
PK
Enumeration date
01/24/2012
Last updated
06/25/2014
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