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1578159448
MARY LISA CLARK
OWENSBORO, KY
NPI
1578159448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 011797)
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
Dr. MARY LISA CLARK pharm d
3311 HWY 54
OWENSBORO, KY 42303-2120
Phone number: 270-926-0476
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Mailing Address
Dr. MARY LISA CLARK pharm d
6506 LITTLE HICKORY RD
PHILPOT, KY 42366-9046
Phone number: 270-314-7899
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