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1780705962
MICHAEL ALLEN CLARK
SCOTTSDALE, AZ
NPI
1780705962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 9796)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ALLEN CLARK RPh
9501 E SHEA BLVD
SCOTTSDALE, AZ 85260-6719
Phone number: 480-551-8639
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Mailing Address
Mr. MICHAEL ALLEN CLARK RPh
1326 N WILBUR
MESA, AZ 85201-2705
Phone number: 480-827-8495
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