Provider Demographics
NPI:1952079386
Name:CLIFTON, GILBERT DENNIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:DENNIS
Last Name:CLIFTON
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 1:17206 S SPANGLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:VALLEYFORD
Mailing Address - State:WA
Mailing Address - Zip Code:99036-9569
Mailing Address - Country:US
Mailing Address - Phone:509-209-6573
Mailing Address - Fax:
Practice Address - Street 1:17206 S SPANGLE CREEK RD
Practice Address - Street 2:
Practice Address - City:VALLEYFORD
Practice Address - State:WA
Practice Address - Zip Code:99036-9569
Practice Address - Country:US
Practice Address - Phone:509-209-6573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA45068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist