Individual
MS. CHRISTINE E. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1122 HWY 61, WINONA, MN 55987
(507) 454-6072
Mailing address
10811 N 62ND ST, OMAHA, NE 68152-1437
(402) 871-8896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-028351
IL
183500000X
Pharmacist
Primary
118726
MN
183500000X
Pharmacist
12327-040
WI
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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