Individual
DR. ANGEL A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
207 S MEMORIAL DR, TULSA, OK 74112-2201
(918) 838-2937
Mailing address
11640 E 24TH ST, TULSA, OK 74129-5621
(918) 289-9142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13578
OK
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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