Individual
CODY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1229 RESERVE BLVD STE 100A, SPRING HILL, TN 37174-3273
(931) 487-1700
Mailing address
1099 MCAVOY DR, FRANKLIN, TN 37064-1960
(806) 773-5958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54805
TX
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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