Individual
MS. JULIENNE E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13907 HIGH RD, MABELVALE, AR 72103-3212
(501) 455-1086
Mailing address
4108 OLD OAK DR, LITTLE ROCK, AR 72212-1931
(501) 673-4400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10339
AR
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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