Individual
JOSEPH BRIAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1000 TANNER FORD BLVD, HANAHAN, SC 29410
(843) 553-4077
(843) 553-5889
Mailing address
328 QUAIL WALK TRL, CHAPIN, SC 29036-9791
(843) 364-2357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9591
SC
Other
Enumeration date
09/14/2011
Last updated
06/19/2018
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