NPI 1104448430

Gregory Vernon Clodfelter, RPH

Practitioner Pharmacist Ottumwa, IA

Practice location

Address: 327 W 4th St, Ottumwa, IA 52501-2517
Phone: (641) 226-5077
Fax: (641) 226-5080

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 20424 (IA)

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Registry record

NPI: 1104448430
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2020
Record last updated: 8 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.