Individual
JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16130 PARKER ST, OMAHA, NE 68118
(308) 830-0941
Mailing address
16130 PARKER ST, OMAHA, NE 68118-2429
(308) 830-0941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15727
NE
183500000X
Pharmacist
23219
IA
Other
Enumeration date
03/05/2012
Last updated
05/16/2018
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