Wyna Blackman Clayton, PHARM.D.

Individual provider Active NPI Pharmacist · Smithfield, NC

NPI 1932245545 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1932245545
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
15488 (NC)
Practice address
601 N 8TH St
Smithfield, NC 27577-4119
Phone
(919) 934-2111
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15488NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15488 NC Yes

Addresses

Primary practice location

601 N 8TH St
Smithfield, NC 27577-4119

Mailing address

403 Old Post Rd
Erwin, NC 28339-2732
Phone (919) 934-2111

Other providers in Smithfield, NC

All providers in Smithfield, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.