Individual
DR. DONALD PATRICK CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1475 DIXIE HWY, LOUISVILLE, KY 40210-1767
(502) 776-1840
(502) 776-8117
Mailing address
1475 DIXIE HWY, LOUISVILLE, KY 40210-1767
(502) 776-1840
(502) 776-8117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014085
KY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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