Edwin Russelle Clarke, RPH

NPI #1073850145 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1073850145
Entity Type: Individual
Name: Edwin Russelle Clarke, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 9, 2013
Last Updated: Jan 9, 2013

Practice Location

Address: 10400 SW VILLAGE CENTER DR
City: Port Saint Lucie
State: Florida
ZIP Code: 34987-2186
Phone: (772) 345-9911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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