Individual
DENISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4672 STATE ST, SAGINAW, MI 48603-3805
(989) 921-6222
(989) 921-6225
Mailing address
4672 STATE ST, SAGINAW, MI 48603-3805
(989) 921-6222
(989) 921-6225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53026907
MI
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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