Individual
REBECCA MAE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 928-6007
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 928-6007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20977
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20977
PHARMACIST
AL
Enumeration date
09/25/2019
Last updated
08/05/2026
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