Individual
JUSTIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
860 POTOMAC CIR, AURORA, CO 80011-6714
(720) 777-0300
(720) 478-7400
Mailing address
860 POTOMAC CIR, AURORA, CO 80011-6714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH.0021616
CO
183500000X
Pharmacist
RP00007152
NM
183500000X
Pharmacist
S016609
AZ
Other
Enumeration date
01/15/2010
Last updated
01/05/2023
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