Individual
DR. ANDREW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
6220 OLD CANTON RD, JACKSON, MS 39211-2924
(601) 503-0558
Mailing address
6220 OLD CANTON RD, JACKSON, MS 39211-2924
(601) 503-0558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010234
MS
Other
Enumeration date
05/30/2007
Last updated
04/27/2021
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