TONY DALE CLARK

LENEXA, KS
NPI1821685157
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KS  1-15358)
Enumeration Date2020-12-21
Last Update Date2020-12-21
Business Address
Mr. TONY DALE CLARK
12200 W 95TH ST
LENEXA, KS 66215-3806
Phone number: 913-894-2093
Mailing Address
Mr. TONY DALE CLARK
6552 BARTH RD
SHAWNEE, KS 66226-3510
Phone number: 913-669-3091