Individual
DR. COLLEEN ANN CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
456 W 10TH AVE, OSU CLINICAL PARTNERS PROGRAM, COLUMBUS, OH 43210-1240
(614) 293-5075
(614) 293-3171
Mailing address
1933 ASCHINGER BLVD, COLUMBUS, OH 43212-2675
(330) 701-4455
(614) 292-1335
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
03-3-26855
OH
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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