Provider Demographics
NPI:1881098333
Name:CLAYTON, GAIL (RPH)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 S MASON RD
Mailing Address - Street 2:STE 150
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2437
Mailing Address - Country:US
Mailing Address - Phone:281-650-9328
Mailing Address - Fax:
Practice Address - Street 1:565 S MASON RD
Practice Address - Street 2:STE 150
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2437
Practice Address - Country:US
Practice Address - Phone:281-650-9328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist