Derek Clark, PHARMD

NPI #1124452073 in Prescott Valley, Arizona

Provider Information

NPI Number: 1124452073
Entity Type: Individual
Name: Derek Clark, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 28, 2013
Last Updated: Aug 28, 2013

Practice Location

Address: 3100 N GLASSFORD HILL RD
City: Prescott Valley
State: Arizona
ZIP Code: 86314-2285
Phone: (928) 445-0607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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