Individual
PIA N CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3061 TECHNOLOGY PL, WALDORF, MD 20601-4988
(301) 645-2637
Mailing address
3061 TECHNOLOGY PL, WALDORF, MD 20601-4988
(410) 371-2218
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
10748
MD
Other
Enumeration date
07/28/2021
Last updated
11/20/2021
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