Individual
CLAYTON FORD MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3105
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14761
OK
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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