Individual
DR. COLLEEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2009 BROWN ST, ANDERSON, IN 46016-4216
(317) 268-5319
Mailing address
105 E OHIO ST, INDIANAPOLIS, IN 46204-2128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022435A
IN
Other
Enumeration date
08/19/2019
Last updated
10/21/2025
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