Benjamin Addril Clark, RPH

NPI #1548750110 in Reidsville, Georgia

Provider Information

NPI Number
1548750110
Entity Type
Individual
Name
Benjamin Addril Clark, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
May 18, 2018
Last Updated
May 18, 2018

Practice Location

Address
SE REGIONAL PHARMACY ATTN: BEN CLARK
Address 2
300 FIRST AVENUE SOUTH
State
Georgia
ZIP Code
30453
Phone
(912) 557-7960

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