Individual
MRS. IVY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
189 BROOKLAWN ST, FARRAGUT, TN 37934-2875
(865) 428-0629
(865) 908-5068
Mailing address
220 WEARS VALLEY RD, PIGEON FORGE, TN 37863-4215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35895
TN
Other
Enumeration date
08/04/2011
Last updated
05/07/2026
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