Individual
MRS. LINDA SUE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
201 CROSSINGS MALL, ELKVIEW, WV 25071
(304) 965-7261
Mailing address
807 BASIL RD, CHARLESTON, WV 25314-1813
(304) 342-8271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005741
WV
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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