Douglas Clark, PHARMD

NPI #1174113716 in Pueblo, Colorado

Provider Information

NPI Number: 1174113716
Entity Type: Individual
Name: Douglas Clark, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 18, 2021
Last Updated: Jan 18, 2021

Practice Location

Address: 25140 E US HIGHWAY 50
City: Pueblo
State: Colorado
ZIP Code: 81006-9775
Phone: (719) 544-1371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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