Individual
JOSH BRYAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
125 ARMADA BLVD, RACELAND, KY 41169-1004
(606) 923-3392
Mailing address
125 ARMADA BLVD, RACELAND, KY 41169-1004
(606) 923-3392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023596
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2019
Last updated
07/07/2023
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