Clark, Tyler Todd

Clark, Tyler Todd is an individual health care provider with primary practice located at 1130 W Frontage Rd , Owatonna MN 55060-5662. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Tyler Todd can be contacted via phone (507) 451-3323.

Contact Information

Primary practice address
1130 W Frontage Rd Owatonna MN 55060-5662
Phone: (507) 451-3323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 124582 Minnesota

Profile Details

NPI number 1629685698
LBN Legal business name Clark, Tyler Todd
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2020
Last updated Sep 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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