Individual
BRIAN THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
608 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3819
(509) 925-6996
Mailing address
608 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3819
(509) 925-6996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P6871
ID
183500000X
Pharmacist
Primary
PH60419201
WA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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