Individual
MEGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
212 PIMLICO CHASE, SHERMAN, IL 62684-9427
(217) 836-4997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.305641
IL
Other
Enumeration date
07/18/2023
Last updated
03/25/2026
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