Individual
DR. JACE ANTHONY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 W THOMAS RD STE 190, PHOENIX, AZ 85013-4237
(602) 406-3970
(602) 406-7145
Mailing address
500 W THOMAS RD STE 190, PHOENIX, AZ 85013-4237
(602) 406-3970
(602) 406-7145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018514
AZ
Other
Enumeration date
08/30/2011
Last updated
02/05/2021
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