Individual
MR. WYLIE RAY CLAYTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1063 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7584
(859) 234-5758
Mailing address
1063 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7584
(859) 234-5758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6503
KY
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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