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Individual

DR. WILLIAM CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3207
Mailing address
8006 DERONIA AVE, LOUISVILLE, KY 40222-4848

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018059
KY

Other

Enumeration date
05/30/2017
Last updated
05/30/2017
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