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Individual

DR. BRIAN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8312 SERENITY WAY, DENTON, TX 76210-0823
(940) 391-3701
Mailing address
8312 SERENITY WAY, DENTON, TX 76210-0823
(940) 391-3701

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57187
TX

Other

Enumeration date
11/03/2015
Last updated
11/03/2015
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