Individual
DR. JAMIE DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(941) 505-8882
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(194) 760-2147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS54824
FL
Other
Enumeration date
10/31/2013
Last updated
04/04/2022
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