Individual
DR. BETH ELLEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, CACP
Contact information
Practice address
808 LANDMARK DR, SUITE 128, GLEN BURNIE, MD 21061-4983
(410) 590-4140
(410) 590-4159
Mailing address
10366 OLD FREDERICK RD, WOODSTOCK, MD 21163-1309
(410) 590-4140
(410) 590-4159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13263
MD
Other
Enumeration date
09/23/2005
Last updated
04/16/2012
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