Individual
NICOLE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2308
(763) 478-4612
(763) 478-4618
Mailing address
4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2308
(763) 478-4612
(763) 478-4618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123432
MN
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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