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1003071150
KELLY RAE CLARK
BRONX, NY
NPI
1003071150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P1300X Pharmacist Psychiatric
(Licence: TX 41224)
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
DR. KELLY RAE CLARK PHARM.D.
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
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Mailing Address
DR. KELLY RAE CLARK PHARM.D.
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number:
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