Individual
MR. GARY D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2701 S NC 127 HWY, HICKORY, NC 28602-9130
(828) 294-1644
Mailing address
125 NORTHFIELD RD, STATESVILLE, NC 28625-9146
(704) 878-0665
(704) 500-2350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12024
NC
Other
Enumeration date
12/27/2010
Last updated
03/07/2011
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