Clark, Julie

Clark, Julie is an individual health care provider with primary practice located at 1073 Highway 51 , Madison MS 39110-9085. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Julie can be contacted via phone (601) 605-0402.

Contact Information

Primary practice address
1073 Highway 51 Madison MS 39110-9085
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-12636 Mississippi

Profile Details

NPI number 1033465935
LBN Legal business name Clark, Julie
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2012
Last updated Jul 28th, 2012 - about 13 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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