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1376029223
JORDAN LEE CLARK
GREENWOOD, IN
NPI
1376029223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: IN 26027060A)
Enumeration Date
2018-07-13
Last Update Date
2018-07-13
Business Address
JORDAN LEE CLARK PharmD
3000 S STATE ROAD 135
GREENWOOD, IN 46143-9825
Phone number: 317-535-4075
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Mailing Address
JORDAN LEE CLARK PharmD
6576 CARESSA WAY
INDIANAPOLIS, IN 46259-1473
Phone number:
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