MICHAEL JOHN CLARK

GREEN BAY, WI
NPI1386920239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  12691-040)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
Mr. MICHAEL JOHN CLARK RPh
1979 LIME KILN RD
GREEN BAY, WI 54311-6219
Phone number: 920-288-0638
Mailing Address
Mr. MICHAEL JOHN CLARK RPh
1979 LIME KILN RD
GREEN BAY, WI 54311-6219
Phone number: 920-288-0638
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