Individual
DR. BRANDI CARROLL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1081 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2507
(478) 987-7494
(478) 987-7517
Mailing address
1081 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2507
(478) 987-7494
(478) 987-7517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024279
GA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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