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1457625782
JAMES CLARK
OMAHA, NE
NPI
1457625782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NE 15727)
Additional Taxonomies
183500000X Pharmacist
(Licence: IA 23219)
Enumeration Date
2012-03-05
Last Update Date
2018-05-16
Business Address
JAMES CLARK
16130 PARKER ST
OMAHA, NE 68118
Phone number: 308-830-0941
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Mailing Address
JAMES CLARK
16130 PARKER ST
OMAHA, NE 68118-2429
Phone number: 308-830-0941
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