| NPI | 1932679099 |
|---|---|
| Doing Business As | CLYDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY CLYDE Managing Member 405-517-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2022-01-25 |