Individual
MR. DAVID JOSEPH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2540 14TH ST S, #312, FARGO, ND 58103-5616
(701) 239-9675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4507
ND
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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