Individual
DR. ALVIN WALTER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2232 GALLATIN PIKE N, MADISON, TN 37115-2006
(615) 859-6216
(615) 859-6216
Mailing address
410 ELLEN DR, GOODLETTSVILLE, TN 37072-3429
(615) 859-9877
(615) 859-9877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C-3772
TN
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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