Individual
CLARK DELAINE TEXLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PH
Contact information
Practice address
605 N 8TH ST, HARRISBURG, OR 97446-9552
(541) 995-8459
Mailing address
PO BOX 348, HARRISBURG, OR 97446-0348
(541) 995-8459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5222
OR
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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