Individual
DR. MATTHEW CLAY SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1500 SW 59TH ST, OKLAHOMA CITY, OK 73119-7214
(405) 684-9764
(405) 684-9751
Mailing address
1500 SW 59TH ST, OKLAHOMA CITY, OK 73119-7214
(405) 684-9764
(405) 684-9751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15367
OK
Other
Enumeration date
02/25/2013
Last updated
05/20/2015
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