Individual
CLINT TYLER MANSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
622 W MAIN ST, CROSBYTON, TX 79322-2243
(806) 675-2001
(806) 675-7284
Mailing address
12617 N FM 1729, IDALOU, TX 79329-6171
(806) 549-1243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64833
TX
Other
Enumeration date
01/08/2021
Last updated
09/20/2023
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