Individual
DR. ALEAH JOY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
291 W FERRY, BUFFALO, NY 14213-1816
(716) 882-6922
Mailing address
291 W FERRY, BUFFALO, NY 14213-1816
(716) 882-6922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I055057-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I055057-1
IMMUNIZING PHARMACIST
NY
Enumeration date
10/20/2010
Last updated
10/20/2010
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