Joe Boaz Clark IV
NPI #1669139309 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1669139309
- Entity Type
- Individual
- Name
- Joe Boaz Clark IV
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Ambulatory Care
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Nov 17, 2021
Practice Location
- Address
- 640 E MAIN ST
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-9696
- Phone
- (608) 837-3821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Ambulatory Care — Ambulatory Care |
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