Clyne, David
Clyne, David is an individual health care provider with primary practice located at 21495 141St Ave N , Rogers MN 55374-4583. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clyne, David can be contacted via phone (763) 428-5802.Contact Information
Primary practice address
21495 141St Ave N
Rogers MN 55374-4583
Phone: (763) 428-5802
Fax: (763) 428-3057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 1163218 | Minnesota |
| Pharmacy Service Providers / Pharmacist | 183500000X | 051-032107 | Illinois |
Profile Details
| NPI number | 1770868838 |
|---|---|
| LBN Legal business name | Clyne, David |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2011 |
| Last updated | Oct 19th, 2011 - about 15 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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