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1578633152
ALLAN W CLARK
MADISON, WI
NPI
1578633152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 9007)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- ALLAN W CLARK
600 HIGHLAND AVE COMPLIANCE MAIL CODE 153
MADISON, WI 53792-0001
Phone number: 608-263-1290
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Mailing Address
-- ALLAN W CLARK
2136 COMMONWEALTH AVE
MADISON, WI 53726-3956
Phone number: 608-238-8212
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