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1568741783
IVY CLARK
PIGEON FORGE, TN
NPI
1568741783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 35895)
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
Mrs. IVY CLARK PharmD
220 WEARS VALLEY RD
PIGEON FORGE, TN 37863-4215
Phone number: 865-428-0629
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Mailing Address
Mrs. IVY CLARK PharmD
220 WEARS VALLEY RD
PIGEON FORGE, TN 37863-4215
Phone number:
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