Individual
SAMANTHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7201
(601) 288-4286
(601) 288-4163
Mailing address
312 S 17TH AVE, HATTIESBURG, MS 39401-6253
(601) 297-7501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12595
MS
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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