Most Relevant Information
Provider Data
| NPI Number: | 1003206269 |
| Provider Name: | JOHN CLYDE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 1-15421 |
Most Important Dates
| Enumeration Date: | 01/27/2015 |
| Last Updated: | 10/30/2020 |
Provider Practice Location
101 BLUEMONT AVE
MANHATTAN
KS
665025093
Practice Location Phone/Fax
| Phone: | 7857764841 |
| Fax: | 7857764842 |
Provider Mailing Location
101 BLUEMONT AVE
MANHATTAN
KS
665025093
Provider Mailing Phone/Fax
| Phone: | 7857764841 |
| Fax: | 7857764842 |