Carol Clark

NPI #1497210355 in Marion, Arkansas

Provider Information

NPI Number: 1497210355
Entity Type: Organization
Organization Name: Carol Clark
Subpart: Yes (part of a larger organization)
Parent Organization: CAROL CLARK
Primary Specialty: Pharmacy
Enumeration Date: Feb 5, 2019
Last Updated: Feb 5, 2019

Practice Location

Address: 134 BLOCK ST
City: Marion
State: Arkansas
ZIP Code: 72364-1956
Phone: (870) 739-1111

Authorized Official

Name: CAROL RILEY CLARK
Title: OWNER
Phone: (870) 792-7177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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