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1053620690
MELISSA CLARK
CASPER, WY
NPI
1053620690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WY 3197)
Enumeration Date
2010-09-30
Last Update Date
2012-11-26
Business Address
Mrs. MELISSA CLARK Pharm.D.
1071 CY AVE
CASPER, WY 82604-3515
Phone number: 307-266-0136
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Mailing Address
Mrs. MELISSA CLARK Pharm.D.
1071 CY AVE
CASPER, WY 82604-3515
Phone number: 307-266-0136
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