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Michele Jean Clark

Pharmacist in Grove City, OH. Individual provider (NPI-1).

NPI number1598437204
StatusActive
Last updated in NPPESSep 30, 2021

Details

NPI
1598437204
Entity type
Individual (NPI-1)
Name
Michele Jean Clark
Sex
Female
Sole proprietor
No
Enumeration date
Sep 30, 2021
Certification date
Sep 30, 2021
Last updated
Sep 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist03117511OHYes

Practice location

2173 Stringtown Rd
Grove City, OH 43123-2989

Phone 614-875-8591 · Fax 614-875-8407

Mailing address

2173 Stringtown Rd
Grove City, OH 43123

Phone 614-875-8591 · Fax 614-875-8407

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