Individual
JEFFREY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1117 W 400 S, SPRINGVILLE, UT 84663-3061
(385) 685-7005
Mailing address
446 SPANISH FIELDS DR, SPANISH FORK, UT 84660-4519
(801) 471-9312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5910037
UT
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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