Individual
MONIQUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 VETERANS DR, WARFARIN CLINIC/PHARM (119), MINNEAPOLIS, MN 55417-2309
(612) 467-2198
(612) 727-5996
Mailing address
1 VETERANS DR, WARFARIN CLINIC/PHARM (119), MINNEAPOLIS, MN 55417-2309
(612) 467-2198
(612) 727-5996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3190
MT
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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