Individual
MARK ELDON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15615 BEL RED RD, SUITE B, BELLEVUE, WA 98008-2300
(425) 881-0222
Mailing address
15615 BEL RED RD, SUITE B, BELLEVUE, WA 98008-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010956
WA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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