Individual
DR. DORYN ROCHE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2103 VETERANS BLVD, UNIT 2, DUBLIN, GA 31021-7502
(478) 274-5534
Mailing address
PO BOX 9000, DUBLIN, GA 31040-9000
(478) 274-5534
(866) 817-1445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028266
GA
Other
Enumeration date
01/13/2015
Last updated
08/26/2019
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