MEDICARE: GAIL CLAYTON R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	30691	TX

General Provider Information

NPI Number	:	1881098333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL CLAYTON R.PH.

Provider Business Mailing Address
First Line	:	565 S MASON RD
Second Line	:	STE 150
City	:	KATY
State	:	TX
Zip	:	77450-2437
Country	:	US
Telephone Number	:	281-650-9328
Fax Number	:

Provider Business Practice Location Address
First Line	:	565 S MASON RD
Second Line	:	STE 150
City	:	KATY
State	:	TX
Zip	:	77450-2437
Country	:	US
Telephone Number	:	281-650-9328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	10/13/2014

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Directions to “ GAIL CLAYTON R.PH.” Practice Location

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