Individual
ALEXIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 COLONIAL DR, STANDISH, ME 04084-6543
(207) 642-5544
Mailing address
71 COLONIAL DR, STANDISH, ME 04084-6543
(207) 642-5544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR68663
ME
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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