Organization
CLARK PHARMACY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRUCE CLARK RPH (MEMBER)
(719) 481-0021
Entity
Organization
Contact information
Practice address
1150 CAMBROOK CT, MONUMENT, CO 80132-8488
(719) 481-0021
Mailing address
1150 CAMBROOK CT, MONUMENT, CO 80132-8488
(719) 481-0021
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11322
CO
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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