Individual
MR. CLARK PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6531 MACCORKLE AVE SE, CHARLESTON, WV 25304-2921
(304) 925-4721
(304) 926-6210
Mailing address
22 CARRIAGE RD, CHARLESTON, WV 25314-2159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006085
WV
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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