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Individual

BENJAMIN ADDRIL CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
SE REGIONAL PHARMACY ATTN: BEN CLARK, 300 FIRST AVENUE SOUTH, REIDSVILLE, GA 30453
(912) 557-7960
(912) 557-7975
Mailing address
SE REGIONAL PHARMACY ATTN: BEN CLARK, 300 FIRST AVENUE SOUTH, REIDSVILLE, GA 30453

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH016066
GA

Other

Enumeration date
05/18/2018
Last updated
05/18/2018
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