Individual
DR. RITA CUNNEEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD RPH
Contact information
Practice address
3801 S RESERVE ST, MISSOULA, MT 59801-7322
(406) 251-5415
(406) 251-8663
Mailing address
3801 S RESERVE ST, MISSOULA, MT 59801-7322
(406) 251-5415
(406) 251-8663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3813
MT
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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