Individual
JESSICA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
152 N BUCKMAN ST, SHEPHERDSVILLE, KY 40165-5900
(502) 543-2202
Mailing address
152 N BUCKMAN ST, SHEPHERDSVILLE, KY 40165-5900
(502) 543-2202
(502) 543-1040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020821
KY
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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