Most Relevant Information
Provider Data
| NPI Number: | 1003589797 |
| Provider Name: | PIA N CLARK RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P2201X |
| Specialty: | Pharmacist |
| License Number: | 10748 |
Most Important Dates
| Enumeration Date: | 07/28/2021 |
| Last Updated: | 11/20/2021 |
Provider Practice Location
3061 TECHNOLOGY PL
WALDORF
MD
206014988
Practice Location Phone/Fax
| Phone: | 3016452637 |
| Fax: |
Provider Mailing Location
3061 TECHNOLOGY PL
WALDORF
MD
206014988
Provider Mailing Phone/Fax
| Phone: | 4103712218 |
| Fax: |