Individual
JILL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1156 CARTER RD, OWENSBORO, KY 42301-2644
(270) 683-7010
(270) 683-7342
Mailing address
1156 CARTER RD, OWENSBORO, KY 42301-2644
(270) 683-7010
(270) 683-7342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012626
KY
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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