Individual
MS. JENNIFER ALICIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1613 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4315
(617) 354-5600
(617) 492-8135
Mailing address
1613 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4315
(617) 354-5600
(617) 492-8135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23496
MA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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