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Individual

CAITLYN GRACE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
825 NE 10TH ST STE 5B, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523
Mailing address
825 NE 10TH ST STE 5B, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
19399
OK

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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