EDWIN RUSSELLE CLARKE

PORT SAINT LUCIE, FL
NPI1073850145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps25443)
Enumeration Date2013-01-09
Last Update Date2013-01-09
Business Address
-- EDWIN RUSSELLE CLARKE rph
10400 SW VILLAGE CENTER DR
PORT SAINT LUCIE, FL 34987-2186
Phone number: 772-345-9911
Mailing Address
-- EDWIN RUSSELLE CLARKE rph
10400 SW VILLAGE CENTER DR
PORT SAINT LUCIE, FL 34987-2186
Phone number: 772-345-9911
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