Individual
DR. BROOKE MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7925 GUNN HWY, TAMPA, FL 33626-1618
(813) 920-9535
(813) 920-4943
Mailing address
7925 GUNN HWY, TAMPA, FL 33626-1618
(813) 920-9535
(813) 920-4943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46725
FL
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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