CHARLES JOHN CLARK

SALMON, ID
NPI1689826984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P-4334)
Enumeration Date2008-10-17
Last Update Date2008-10-17
Business Address
-- CHARLES JOHN CLARK R.ph.
203 SO. DAISY
SALMON, ID 83467
Phone number: 208-756-5672
Mailing Address
-- CHARLES JOHN CLARK R.ph.
BOX 700 STEELE MEMORIAL MEDICAL CENTER 203 SO. DAISY
SALMON, ID 83467
Phone number: 208-756-5672
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