Individual
DR. ASHLEY LOUISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
551 NATIONAL HEALTHCARE DRIVE, DAYTONA BEACH VA OUTPATIENT CLINIC, DAYTONA BEAC, FL 32608-1135
(352) 379-6062
Mailing address
140 ACKLINS CIR APT 110, DAYTONA BEACH, FL 32119-9771
(386) 323-7500
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PS46401
FL
Other
Enumeration date
07/07/2011
Last updated
05/06/2013
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