NPI 1033465935

Julie Clark, PHARMD

Practitioner Pharmacist Madison, MS

Practice location

Address: 1073 Highway 51, Madison, MS 39110-9085
Phone: (601) 605-0402
Mailing address: 120 Misty Morning Ln, Clinton, MS 39056-4177

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-12636 (MS)

Other Pharmacist providers in Mississippi →

Registry record

NPI: 1033465935
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2012
Record last updated: 28 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.