Clark, Andrew

Clark, Andrew is an individual health care provider with primary practice located at 6220 Old Canton Rd , Jackson MS 39211-2924. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Andrew can be contacted via phone (601) 503-0558.

Contact Information

Primary practice address
6220 Old Canton Rd Jackson MS 39211-2924
Phone: (601) 503-0558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-010234 Mississippi

Profile Details

NPI number 1760683635
LBN Legal business name Clark, Andrew
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Apr 27th, 2021 - about 5 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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