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1174622930
MICHAEL STUART CLARK
CLEVELAND, MS
NPI
1174622930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MS 05857)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
MICHAEL STUART CLARK
410 SOUTH ST
CLEVELAND, MS 38732-3450
Phone number: 662-843-6700
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Mailing Address
MICHAEL STUART CLARK
410 SOUTH ST PO BOX 1748
CLEVELAND, MS 38732-3450
Phone number: 662-843-6700
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