Individual
JULIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1073 HIGHWAY 51, MADISON, MS 39110-9085
(601) 605-0402
Mailing address
120 MISTY MORNING LN, CLINTON, MS 39056-4177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12636
MS
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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