Organization
CLARKS MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM D. CLARK DPH (PHARMACIST/MANAGER/OWNER)
(931) 823-5534
Entity
Organization
Contact information
Practice address
206 ROBERTS ST, LIVINGSTON, TN 38570-1506
(931) 823-5534
(931) 823-5534
Mailing address
206 ROBERTS ST, LIVINGSTON, TN 38570-1506
(931) 823-5534
(931) 823-5534
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0000001154
TN
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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