Individual
CLAYTON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1912 JACKSON AVE W, OXFORD, MS 38655-4454
(662) 238-3427
(662) 248-3432
Mailing address
438 ANCHORAGE RD, OXFORD, MS 38655-6059
(901) 233-0190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E15108
MS
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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