Individual
DONALD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
120 W MAIN ST, MASON, OH 45040-1799
(513) 398-5010
(513) 459-7013
Mailing address
120 W MAIN ST, MASON, OH 45040-1799
(513) 398-5010
(513) 459-7013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
012865
KY
183500000X
Pharmacist
Primary
03114944
OH
Other
Enumeration date
08/22/2014
Last updated
12/26/2020
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