Individual
CLIFFORD BLAINE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 E JACKSON ST, HUGO, OK 74743-4021
(580) 326-8337
(580) 326-8338
Mailing address
420 E JACKSON ST, HUGO, OK 74743-4021
(580) 326-8337
(580) 326-8338
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
10516
OK
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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