Individual
DAVID CLYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
21495 141ST AVE N, ROGERS, MN 55374-4583
(763) 428-5802
(763) 428-3057
Mailing address
21495 141ST AVE N, ROGERS, MN 55374-4583
(763) 428-5802
(763) 428-3057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-032107
IL
183500000X
Pharmacist
Primary
1163218
MN
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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