Individual
LEAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-2000
Mailing address
6335 FORGE RD APT 4301, WHITESTOWN, IN 46075-9032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030419A
IN
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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