IndividualActive
Gayle Clark
NPI 1679653570 · Pharmacy Technician · Tishomingo, OK
Provider details
- NPI number
- 1679653570
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6841 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
815 E 6th Street
Tishomingo, OK 73460
Phone: (580) 371-2392
Fax: (580) 559-0610
Approximate (ZIP-level) locationGet directions
Mailing address
1001 N Country Club Rd
Ada, OK 74820-2847
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.