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1336220664
DONALD DALE CLARK
BOWLING GREEN, KY
NPI
1336220664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 6873)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. DONALD DALE CLARK R.Ph.
2305 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3920
Phone number: 270-796-3909
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Mailing Address
Mr. DONALD DALE CLARK R.Ph.
2305 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3920
Phone number: 270-796-3909
Copy
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