Individual
MRS. CASSIE HENDERSON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
400 VETERANS AVE, PHARMACY SERVICE- 119, BILOXI, MS 39531-2410
(228) 523-5141
Mailing address
400 VETERANS AVE, PHARMACY SERVICE- 119, BILOXI, MS 39531-2410
(228) 523-5141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E- 010352
MS
Other
Enumeration date
08/03/2008
Last updated
08/03/2008
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