Individual
BEVERLY A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5021 MONCK CT, WILMINGTON, NC 28409-3173
(910) 791-5485
Mailing address
5021 MONCK CT, WILMINGTON, NC 28409-3173
(910) 791-5485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7408
NC
Other
Enumeration date
08/11/2005
Last updated
02/28/2012
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