Individual
DR. MICHAEL J CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5122 HULL STREET RD, RICHMOND, VA 23224-2422
(804) 232-4399
Mailing address
1613 LAUREL TOP DR, MIDLOTHIAN, VA 23114-5155
(804) 349-4152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204983
VA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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