Individual
DR. JUSTIN HOWARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3920 E GRANT RD, TUCSON, AZ 85712-2558
(520) 323-2695
(520) 323-0151
Mailing address
3920 E GRANT RD, TUCSON, AZ 85712-2558
(520) 323-2695
(520) 323-0151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019329
AZ
Other
Enumeration date
12/30/2012
Last updated
12/30/2012
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