Individual
CHARLOTTE JEAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 E JACKSON ST, MACOMB, IL 61455-2530
(309) 833-3750
(309) 836-8407
Mailing address
210 W JEFFERSON ST, MACOMB, IL 61455-2131
(309) 313-2834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.287844
IL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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