Individual provider · Type 1 NPI
Gayle Clark
Pharmacy Technician · Tishomingo, OK
NPI number
1679653570
Active
Practice location
815 E 6th Street
Tishomingo, OK 73460
Fax (580) 559-0610
Mailing address
1001 N Country Club Rd
Ada, OK 74820-2847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician Primary | 183700000X | 6841 (OK) |
Pharmacy Technician: 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.
About NPI 1679653570
Gayle Clark's National Provider Identifier is 1679653570, issued on Oct 16, 2006. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Tishomingo, OK. The record was last updated on Jul 20, 2007.