Individual
DR. DEIDRE CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
(205) 554-2868
Mailing address
1700 COLLIER WAY, TUSCALOOSA, AL 35405-6104
(205) 752-8802
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14570
AL
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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