Individual
MR. CRAIG LEO CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1946 42ND ST NE, CEDAR RAPIDS, IA 52402
(319) 393-3210
(319) 393-2747
Mailing address
1946 42ND ST NE, CEDAR RAPIDS, IA 52402
(319) 393-3210
(319) 393-2747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15253
IA
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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