Individual
ANDREA CLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
720 S.W. 19TH ST., T-2727, MOORE, OK 73160
(405) 378-5495
(405) 945-5505
Mailing address
720 S.W. 19TH ST., T2727, MOORE, OK 73160
(405) 378-5495
(405) 378-5505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13963
OK
Other
Enumeration date
06/13/2011
Last updated
08/03/2011
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