Donna Lee Clark is a Pharmacist in Man, . Donna Lee Clark practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Donna Lee Clark is 1093849879. The last update date is 2007-07-08.
Donna Lee Clark's current location address is 124 Main St, Man, . You can contact this provider via phone number 3045839910 and fax number 3045839929. The mailing address for Donna Lee Clark is 124 Main St, Man, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Lee Clark |
|---|---|
| Address | 124 Main St, Man, |
| Phone Number | 3045839910 |
| Fax Number | 3045839929 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1093849879 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 124 Main St |
|---|---|
| City | Man |
| State | (WV) |
| Post Code | 256351212 |
| Phone Number | 3045839910 |
| Fax Number | 3045839929 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RP0005874 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Donna Lee Clark by the Centers for Medicare & Medicaid Services?
The Donna Lee Clark has been issued the NPI (National Provider Identifier) 1093849879, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Donna Lee Clark's physical address?
The Donna Lee Clark is physically located at 124 Main St, in the city of Man, WV, with the postal code 256351212.
What is the Donna Lee Clark's specialty and taxonomy code?
The Donna Lee Clark's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093849879 to Donna Lee Clark?
The Donna Lee Clark received its 1093849879 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.
As of what date were the Donna Lee Clark's details last updated?
The information pertaining to the Donna Lee Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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