Individual
DR. TRACY SUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7425 WRIGLEY DR, STE 104, PASCO, WA 99301-5292
(509) 546-8388
(509) 546-8369
Mailing address
7425 WRIGLEY DR, STE 104, PASCO, WA 99301-5292
(509) 546-8388
(509) 546-8369
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00021613
WA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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