Individual
MISTY DAWN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2721 ALABAMA HIGHWAY 20, TOWN CREEK, AL 35672
(256) 685-3530
(256) 685-3523
Mailing address
223 FAWN LN, KILLEN, AL 35645-8383
(256) 272-0556
(256) 272-0556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13766
AL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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