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1043350358
MICHAEL HISCOCK CLARKE
ALBUQUERQUE, NM
NPI
1043350358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NM 5453)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL HISCOCK CLARKE PHARM D
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102-3619
Phone number: 505-727-2897
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Mailing Address
Mr. MICHAEL HISCOCK CLARKE PHARM D
9436 FREEDOM WAY NE
ALBUQUERQUE, NM 87109-6311
Phone number: 505-727-2897
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