Individual
KEVIN P CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
215 SIXTH STREET, HOTCHKISS, CO 81419-0928
(970) 872-2623
(670) 872-2635
Mailing address
215 SIXTH STREET, PO BOX 928, HOTCHKISS, CO 81419-0928
(970) 872-2623
(670) 872-2635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12195
CO
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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