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Contact Information

ANDREA CLEM, PHARM.D.
720 S.W. 19TH ST.
T-2727
MOORE, OK73160
 Phone: 405-378-5495
 Fax: 405-945-5505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ANDREA CLEM · (Female)

NPI Number 1386939874
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 06/13/2011
Last updated 08/03/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 13963
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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