LEWIS WAYNE FORREST CLARK

ELK CITY, OK
NPI1639884521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  19943)
Enumeration Date2023-01-16
Last Update Date2023-01-16
Business Address
LEWIS WAYNE FORREST CLARK RPh
115 W 3RD ST
ELK CITY, OK 73644-4721
Phone number: 580-225-4418
Mailing Address
LEWIS WAYNE FORREST CLARK RPh
115 W 3RD ST
ELK CITY, OK 73644-4721
Phone number: 580-225-4418