Individual
FAITH MARRISSA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
8000 TOWN DR, RALEIGH, NC 27616-2828
(919) 424-6614
(919) 424-6245
Mailing address
8000 TOWN DR, RALEIGH, NC 27616-2828
(919) 424-6614
(919) 424-6245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17078
NC
Other
Enumeration date
11/05/2015
Last updated
11/08/2024
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