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1174113716
DOUGLAS CLARK
PUEBLO, CO
NPI
1174113716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 0020582)
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
DOUGLAS CLARK PharmD
25140 E US HIGHWAY 50
PUEBLO, CO 81006-9775
Phone number: 719-544-1371
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Mailing Address
DOUGLAS CLARK PharmD
693 S MCCOY DR
PUEBLO WEST, CO 81007-1720
Phone number:
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