Individual
JONATHAN DANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
420 S UNIVERSITY AVE, LITTLE ROCK, AR 72205-5246
(501) 801-3413
Mailing address
809 WALROSE CIR, SEARCY, AR 72143-9196
(918) 704-5377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16311
AR
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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