Individual
DR. WILLIAM DALE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 350-6820
Mailing address
223 MUSCOVEY LN, JOHNSTOWN, CO 80534-4614
(307) 871-1683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18066
CO
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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