Clark, Bruce Edward

Clark, Bruce Edward is an sole proprietor health care provider with primary practice located at 35300 Highway 41 Ste 101, Coarsegold CA 93614-8715. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Clark, Bruce Edward can be contacted via phone (888) 249-8884.

Contact Information

Primary practice address
35300 Highway 41 Ste 101 Coarsegold CA 93614-8715
Phone: (888) 249-8884
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH 30899 California
Pharmacy Service Providers / Pharmacotherapy 1835P1200X RPH 30899 California

Profile Details

NPI number 1225404791
LBN Legal business name Clark, Bruce Edward
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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