Individual
ALEXA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20019 CORTEZ BLVD, BROOKSVILLE, FL 34601-3835
(352) 573-8241
(352) 573-8241
Mailing address
8203 WOODEN DR, SPRING HILL, FL 34606-6810
(352) 573-8241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS64840
FL
Other
Enumeration date
01/26/2018
Last updated
08/12/2024
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