Individual
JEFFREY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-3620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21176-40
WI
Other
Enumeration date
10/08/2021
Last updated
07/05/2022
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