Individual
DR. ROBERT JUSTIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
741 MAIN ST, CALEDONIA, MS 39740-7609
(662) 356-4000
(662) 356-4044
Mailing address
PO BOX 478, CALEDONIA, MS 39740-0478
(662) 356-4000
(662) 356-4044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11912
MS
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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