SHANNON WAYNE CLARK

CLEARWATER, FL
NPI1346535150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS14455)
Enumeration Date2011-06-09
Last Update Date2011-06-09
Business Address
Mr. SHANNON WAYNE CLARK Rph
2747 GULF TO BAY BLVD T-1820
CLEARWATER, FL 33759-3945
Phone number: 727-431-0232
Mailing Address
Mr. SHANNON WAYNE CLARK Rph
2747 GULF TO BAY BLVD T-1820
CLEARWATER, FL 33759-3945
Phone number: 727-431-0232
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