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CLARK EDWARD IMPERIOSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
10 INDUSTRIAL AVE, CHELMSFORD, MA 01824-3610
(978) 244-1301
Mailing address
10 INDUSTRIAL AVE, CHELMSFORD, MA 01824-3610
(978) 244-1301

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH21374
MA

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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