Tyler Todd Clark

Pharmacist · Owatonna, MN

Individual Active NPI

NPI number 1629685698

Practice location

1130 W Frontage Rd
Owatonna, MN 55060-5662
Phone
(507) 451-3323

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NPI record

NPI
1629685698
Entity type
Individual (Type 1)
Enumeration date
September 24, 2020
Last updated
September 24, 2020
Certified
September 24, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 124582 MN

Mailing address

325 Hoffman Dr Apt 312
Owatonna, MN 55060-3282
Phone
(320) 515-1620

About Tyler Clark

Tyler Todd Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1130 W Frontage Rd, Owatonna, MN 55060-5662. The NPI number 1629685698 was assigned on September 24, 2020 and the record was last updated on September 24, 2020.

Tyler Clark lists a license in the registry: #124582 (MN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyler Todd Clark?

The NPI number is 1629685698.

What is the phone number of Tyler Clark?

The phone number listed for the practice location is (507) 451-3323.

Where is Tyler Clark located?

1130 W Frontage Rd, Owatonna, MN 55060-5662.

What is the taxonomy code for Tyler Clark?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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