ALLAN W CLARK

MADISON, WI
NPI1578633152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  9007)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
-- ALLAN W CLARK
600 HIGHLAND AVE COMPLIANCE MAIL CODE 153
MADISON, WI 53792-0001
Phone number: 608-263-1290
Mailing Address
-- ALLAN W CLARK
2136 COMMONWEALTH AVE
MADISON, WI 53726-3956
Phone number: 608-238-8212