Individual
DR. BENJAMIN PAUL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D, MPA
Contact information
Practice address
2318 FREDERICA ST, OWENSBORO, KY 42301-4826
(270) 686-7873
Mailing address
8457 STILLHOUSE RD, WHITESVILLE, KY 42378-9582
(270) 686-7873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015052
KY
183500000X
Pharmacist
26023978A
IN
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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