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Individual

JEFFREY CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
611 N PERRY ST, BLDG #2, SUITE 202, SPOKANE, WA 99202-5011
(509) 434-1727
(509) 536-6464
Mailing address
611 N PERRY ST, BLDG #2, SUITE 202, SPOKANE, WA 99202-5011

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60091117
WA

Other

Enumeration date
04/08/2010
Last updated
04/08/2010
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