Individual
DR. RAYMOND LEE CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1316 NOBLE ST STE 1-C, ANNISTON, AL 36201-4643
(256) 439-6393
(256) 235-2751
Mailing address
1003 CHRISTINE AVE APT 103, ANNISTON, AL 36207-5778
(256) 689-2083
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
15439
AL
1835P1200X
Pharmacotherapy Pharmacist
5302027522
MI
Other
Enumeration date
12/15/2005
Last updated
10/09/2019
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