MR. Clinton D Bullock, RPH, NCPS

NPI #1871596791 in Talihina, Oklahoma

Provider Information

NPI Number: 1871596791
Entity Type: Individual
Name: MR. Clinton D Bullock, RPH, NCPS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH, NCPS
Enumeration Date: May 24, 2005
Last Updated: Dec 3, 2018

Practice Location

Address: 1 CHOCTAW WAY
City: Talihina
State: Oklahoma
ZIP Code: 74571-2022
Phone: (918) 567-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist - Pharmacotherapy — Pharmacotherapy	1835P1200X
Pharmacist	183500000X	Primary

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