Healthcare Provider Details

I. General information

NPI: 1205448743
Provider Name (Legal Business Name): CLAYTON CONLEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 E PIKE ST STE 100
SEATTLE WA
98122-3847
US

IV. Provider business mailing address

1016 E PIKE ST STE 100
SEATTLE WA
98122-3847
US

V. Phone/Fax

Practice location:
  • Phone: 206-568-2486
  • Fax: 844-965-9393
Mailing address:
  • Phone: 206-568-2486
  • Fax: 844-965-9393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03444576
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22587
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43104
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.305063
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS60698
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70071837
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH030722
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: