Organization
CLAYTON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S YANCHICK MPH DPH (OWNER/PIC)
(918) 569-4884
Entity
Organization
Contact information
Practice address
102 LAWSON BLVD, CLAYTON, OK 74536-0517
(918) 569-4884
(918) 569-4660
Mailing address
102 LAWSON BLVD, CLAYTON, OK 74536-0517
(918) 569-4884
(918) 569-4660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
534300
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244280B
—
OK
Enumeration date
01/26/2007
Last updated
03/15/2017
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