Individual
DR. JEFFREY KENNETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12850 E MONTVIEW BLVD STE C238, AURORA, CO 80045-2605
(303) 724-2218
Mailing address
12850 E MONTVIEW BLVD STE C238, AURORA, CO 80045-2605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19281
CO
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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