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1124452073
DEREK CLARK
PRESCOTT VALLEY, AZ
NPI
1124452073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S020113)
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
-- DEREK CLARK PharmD
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314-2285
Phone number: 928-445-0607
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Mailing Address
-- DEREK CLARK PharmD
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314-2285
Phone number: 928-445-0607
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