Timothy Allen Clark

NPI #1437458692 in East Jordan, Michigan

Provider Information

NPI Number: 1437458692
Entity Type: Individual
Name: Timothy Allen Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 26, 2011
Last Updated: Mar 26, 2011

Practice Location

Address: 250 S LAKE ST
City: East Jordan
State: Michigan
ZIP Code: 49727-9376
Phone: (231) 536-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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