Individual
MR. ANTHONY CHARLES CLARK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9167 STAPLES MILL RD, RICHMOND, VA 23228-2027
(804) 672-6613
Mailing address
9167 STAPLES MILL RD, RICHMOND, VA 23228-2027
(804) 672-6613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011019
VA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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