DIANE CLARK

MEDFORD, OR
NPI1558634980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  7948)
Additional Taxonomies1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  7948)
Enumeration Date2012-02-15
Last Update Date2016-01-08
Business Address
-- DIANE CLARK R.Ph.
3639 CRATER LAKE HWY
MEDFORD, OR 97504-9259
Phone number: 541-734-2482
Mailing Address
-- DIANE CLARK R.Ph.
3639 CRATER LAKE HWY
MEDFORD, OR 97504-9259
Phone number: 541-734-2482