Individual
BONNIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
11101 HUNTWICKE PL, BLUE ASH, OH 45241-6634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03230570-2
OH
Other
Enumeration date
07/21/2011
Last updated
11/13/2019
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