Michael Stuart Clark I
NPI #1174622930 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1174622930
- Entity Type
- Individual
- Name
- Michael Stuart Clark I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 410 SOUTH ST
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38732-3450
- Phone
- (662) 843-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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