DONALD DALE CLARK

BOWLING GREEN, KY
NPI1336220664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KY  6873)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
MR. DONALD DALE CLARK R.PH.
2305 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3920
Phone number: 270-796-3909
Mailing Address
MR. DONALD DALE CLARK R.PH.
2305 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3920
Phone number: 270-796-3909