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1689826984
CHARLES JOHN CLARK
SALMON, ID
NPI
1689826984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P-4334)
Enumeration Date
2008-10-17
Last Update Date
2008-10-17
Business Address
-- CHARLES JOHN CLARK R.ph.
203 SO. DAISY
SALMON, ID 83467
Phone number: 208-756-5672
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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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