Individual
MRS. LORI JOHNSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
300 TWINING ST, MONTGOMERY, AL 36112-6027
(334) 953-9333
Mailing address
300 TWINING ST, MONTGOMERY, AL 36112-6027
(334) 953-9333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13001
AL
Other
Enumeration date
08/09/2013
Last updated
03/12/2015
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