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1427779206
TIMOTHY JAMES CLARK
MENOMONEE FALLS, WI
NPI
1427779206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 21442-40)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
TIMOTHY JAMES CLARK PharmD
N56W15501 SILVER SPRING DR
MENOMONEE FALLS, WI 53051-5971
Phone number: 262-703-9781
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Mailing Address
TIMOTHY JAMES CLARK PharmD
N3656 OAK HILL ST
DELAVAN, WI 53115-3111
Phone number: 262-215-8189
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