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Individual

MR. JOHN C CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
5 REGENT ST, SUITE 506, LIVINGSTON, NJ 07039-1675
(800) 552-3461
Mailing address
173 HIGH ST, NUTLEY, NJ 07110-1176
(973) 667-4904

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03106100
NJ

Other

Enumeration date
04/20/2007
Last updated
07/08/2007
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