Individual
ROBERT D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
1403 N KINGS HWY, MYRTLE BEACH, SC 29577-3638
(843) 626-2295
Mailing address
1403 N KINGS HWY, MYRTLE BEACH, SC 29577-3638
(843) 626-2295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8229
SC
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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