| NPI | 1699928325 |
|---|---|
| Doing Business As | CLARK PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATHAN J WORTHING Owner 734-434-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301008830) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |