Bullock, Clinton D

Bullock, Clinton D is an sole proprietor health care provider with primary practice located at 1 Choctaw Way , Talihina OK 74571-2022. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Bullock, Clinton D can be contacted via phone (918) 567-7000.

Contact Information

Primary practice address
1 Choctaw Way Talihina OK 74571-2022
Phone: (918) 567-7000
Fax: (918) 567-7134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 043592 Missouri
Pharmacy Service Providers / Pharmacist 183500000X 15401 Oklahoma

Profile Details

NPI number 1871596791
LBN Legal business name Bullock, Clinton D
Credentials RPH, NCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Dec 3rd, 2018 - 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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