Michael Raymond Clark

NPI #1972006005 in Twain Harte, California

Provider Information

NPI Number: 1972006005
Entity Type: Individual
Name: Michael Raymond Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 15, 2018
Last Updated: Feb 28, 2024

Practice Location

Address: 22629 TWAIN HARTE DR STE D
City: Twain Harte
State: California
ZIP Code: 95383-9405
Phone: (209) 586-3225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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