Individual
KENNETH P CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD RPH
Contact information
Practice address
6 FABENS ST, SAUGUS, MA 01906-1306
(781) 231-1819
Mailing address
6 FABENS ST, SAUGUS, MA 01906-1306
(781) 231-1819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26907
MA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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