Individual
DIAHN L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, JD
Contact information
Practice address
7025 N WICKHAM RD, SUITE 113B, MELBOURNE, FL 32940-7534
(321) 253-3535
(321) 253-2522
Mailing address
7025 N WICKHAM RD, SUITE 113B, MELBOURNE, FL 32940-7534
(321) 253-3535
(321) 253-2522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0028636
FL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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