David Clyne, RPH Valid NPI
Individual provider · Pharmacist · Rogers, MN
- NPI
- 1770868838
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 1163218 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-10-19
- Last updated
- 2011-10-19
Practice location
21495 141st Ave N
Rogers, MN 55374-4583
(763) 428-5802