MR. Paul Graham Clark
NPI #1649499146 in West Plains, Missouri
Provider Information
- NPI Number
- 1649499146
- Entity Type
- Individual
- Name
- MR. Paul Graham Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1100 N KENTUCKY AVE
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-2029
- Phone
- (417) 256-9111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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