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1184912883
JASON CLARK
SPARTANBURG, SC
NPI
1184912883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 009365)
Enumeration Date
2011-07-14
Last Update Date
2012-06-19
Business Address
Mr. JASON CLARK rph
3021 REIDVILLE RD
SPARTANBURG, SC 29301-5643
Phone number: 864-576-9201
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Mailing Address
Mr. JASON CLARK rph
552 VERDAE DR
SPARTANBURG, SC 29301-5384
Phone number: 864-237-2099
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