Individual
JEREMY CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6150 S 35TH AVE, PHOENIX, AZ 85041-5004
(602) 243-8517
Mailing address
6150 S 35TH AVE, PHOENIX, AZ 85041-5004
(602) 243-8517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019967
AZ
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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