Individual
DR. RAYMOND LEE CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
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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