TIA C CLARK

MESA, AZ
NPI1942520291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  10558)
Additional Taxonomies183500000X Pharmacist
(Licence: AZ  S010558)
Enumeration Date2010-06-09
Last Update Date2022-12-26
Business Address
TIA C CLARK RPh
420 S SOSSAMAN RD
MESA, AZ 85208-2001
Phone number: 480-985-3658
Mailing Address
TIA C CLARK RPh
420 S SOSSAMAN RD
MESA, AZ 85208-2001
Phone number: 480-325-4777