Individual
DR. HEATHER J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14720 METCALF AVE, OVERLAND PARK, KS 66223-2204
(816) 665-1169
Mailing address
8108 E 134TH ST, GRANDVIEW, MO 64030-3516
(816) 665-1169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
044715
MO
183500000X
Pharmacist
Primary
1-12840
KS
1835P1200X
Pharmacotherapy Pharmacist
044715
MO
1835P1200X
Pharmacotherapy Pharmacist
1-12840
KS
Other
Enumeration date
10/22/2005
Last updated
09/09/2011
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