Individual
MR. CURTIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1610 EVANGELINE HWY, JENNINGS, LA 70546-3922
(337) 824-2829
Mailing address
3031 EMPIRE RD, JENNINGS, LA 70546-8213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015528
LA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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