Individual
DAVID ALAN CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2445 NW LOOP, STEPHENVILLE, TX 76401-1704
(254) 968-7657
Mailing address
2445 NW LOOP, STEPHENVILLE, TX 76401-1704
(254) 968-7657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65424
TX
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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