Male or Other

Clayton C. Irvine PHARMD, MBA, MS

Pharmacist in Rochester, MN(View on Map)

Full Name

Clayton Cole Irvine PHARMD, MBA, MS

NPI Number

1265080683

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/28/2019

Specialties

(Taxonomies)

Code

183500000X
1835X0200X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota
Wisconsin

License Number

125226
19799-40

Contact
Information

Purpose

Mailing
Location

Address

200 1ST ST SW # GO176PHA
200 1ST ST SW

City

Rochester
Rochester

State

MN
MN

Postal Code

55905-2474
55905-0001

Country

US
US

Telephone Number

(507) 538-7044
(507) 284-2511

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

cirvine1522694@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

200 1st St SWRochester, MN559050001US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/08/2021

Provider Address

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