Individual
DR. LUCILLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
Mailing address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35789
SC
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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