Individual
DR. KYLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3780 E 15TH ST, LOVELAND, CO 80538-8766
(970) 461-1975
(970) 467-4042
Mailing address
2747 KANSAS DR UNIT 107, FORT COLLINS, CO 80525-4858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021402
CO
183500000X
Pharmacist
18899
AL
Other
Enumeration date
11/05/2015
Last updated
03/01/2017
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