Most Relevant Information
Provider Data
| NPI Number: | 1003211053 |
| Provider Name: | DESSIE CLARK RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 6893 |
Most Important Dates
| Enumeration Date: | 10/31/2014 |
| Last Updated: | 10/31/2014 |
Provider Practice Location
261 PRIVATE LN
NASHVILLE
NC
278568114
Practice Location Phone/Fax
| Phone: | 2529372284 |
| Fax: |
Provider Mailing Location
261 PRIVATE LN
NASHVILLE
NC
278568114
Provider Mailing Phone/Fax
| Phone: | 2529372284 |
| Fax: |