Elizabeth Jewell Clark, PHARMD

NPI #1174161137 in Kokomo, Indiana

Provider Information

NPI Number: 1174161137
Entity Type: Individual
Name: Elizabeth Jewell Clark, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 20, 2019
Last Updated: Dec 20, 2019

Practice Location

Address: 3608 S LAFOUNTAIN ST
City: Kokomo
State: Indiana
ZIP Code: 46902-3809
Phone: (765) 455-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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