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Gayle Clark
Pharmacy Technician in Tishomingo, Oklahoma
NPI 1679653570

Gayle Clark is a Pharmacy Technician based in Ada, OK. Gayle Clark practices in Tishomingo, OK. The NPI Number for Gayle Clark is 1679653570 and holds a License No. 6841 (Oklahoma).

The current practice location address for Gayle Clark is 815 E 6Th Street, Tishomingo, OK and can be reached out via phone at 580-371-2392 and via fax at 580-559-0610.

Location: 815 E 6Th Street, Tishomingo, OK, 74820-2847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679653570
Provider Name
Gayle Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
815 E 6Th Street, Tishomingo, OK, 74820-2847
Phone Number
580-371-2392
Fax Number
580-559-0610
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6841 01 OK OK LICENSE
institution
Provider Business Practice Location Address Details
Address
815 E 6Th Street
City
Tishomingo
State
Oklahoma
Zip
73460
Phone Number
580-371-2392
Fax Number
580-559-0610
person
Provider Business Mailing Address Details
Address
815 E 6Th Street
City
Tishomingo
State
Oklahoma
Zip
73460
Phone Number
580-371-2392
Fax Number
580-559-0610
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
6841 (Oklahoma)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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