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Individual
MR. MATTHEW LOUIS CLARK
Active
Individual
MR. MATTHEW LOUIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233300
OH
183500000X
Pharmacist
28RI03777300
NJ
183500000X
Pharmacist
60124
TX
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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