Individual
DR. DOUGLAS E CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
129 GILL ST, ALCOA, TN 37701-2656
(865) 984-7704
Mailing address
809 SMOKY CROSSING WAY, SEYMOUR, TN 37865-5095
(865) 579-2862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23961
TN
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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