JAMES CLARK

OMAHA, NE
NPI1457625782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NE  15727)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  23219)
Enumeration Date2012-03-05
Last Update Date2018-05-16
Business Address
JAMES CLARK
16130 PARKER ST
OMAHA, NE 68118
Phone number: 308-830-0941
Mailing Address
JAMES CLARK
16130 PARKER ST
OMAHA, NE 68118-2429
Phone number: 308-830-0941