Individual
MR. CHRISTINA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
21301 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8468
(253) 862-2533
Mailing address
21301 HWY 410 EAST, BONNEY LAKE, WA 98391
(253) 862-2533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020225
WA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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