Individual
MR. JOHN BRUCE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1150 CAMBROOK CT, MONUMENT, CO 80132-8488
(719) 481-0021
Mailing address
1150 CAMBROOK CT, MONUMENT, CO 80132-8488
(719) 481-0021
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
11322
CO
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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