Individual
EMILY BROOKE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
99 MAIN ST, GORHAM, ME 04038-1380
(207) 839-6551
(207) 839-3257
Mailing address
99 MAIN ST, GORHAM, ME 04038-1380
(207) 839-6551
(207) 839-3257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR68671
ME
Other
Enumeration date
11/17/2020
Last updated
02/07/2023
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