Dwana Clark

NPI #1639537749 in Hebron, Kentucky

Provider Information

NPI Number: 1639537749
Entity Type: Individual
Name: Dwana Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 3, 2016
Last Updated: Feb 3, 2016

Practice Location

Address: 3105 N BEND RD
City: Hebron
State: Kentucky
ZIP Code: 41048-8523
Phone: (859) 962-4920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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