Provider Demographics
NPI:1992393656
Name:HOWARD, CLAYTON DWAYNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:DWAYNE
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 STONE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:MC GREGOR
Mailing Address - State:TX
Mailing Address - Zip Code:76657-4137
Mailing Address - Country:US
Mailing Address - Phone:254-855-4243
Mailing Address - Fax:
Practice Address - Street 1:10412 CHINA SPRING RD STE A
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-5685
Practice Address - Country:US
Practice Address - Phone:254-836-5255
Practice Address - Fax:254-836-5324
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist