Diahn L Clark, PHARMD, JD

NPI #1003965765 in Melbourne, Florida

Provider Information

NPI Number: 1003965765
Entity Type: Individual
Name: Diahn L Clark, PHARMD, JD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, JD
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7025 N WICKHAM RD
Address 2: SUITE 113B
City: Melbourne
State: Florida
ZIP Code: 32940-7534
Phone: (321) 253-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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