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Individual

DAVID CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
87 GARNER RD., CVS 4174, SPARTANBURG, SC 29303
(864) 582-6740
(140) 121-6095
Mailing address
87 GARNER RD., CVS 4174, SPARTANBURG, SC 29303

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10049
SC

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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