Andrew Clark is a Pharmacist in Jackson, Mississippi. Andrew Clark practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Andrew Clark is 1760683635. The last update date is 2021-04-27.
Andrew Clark's current location address is 6220 Old Canton Rd, Jackson, Mississippi. You can contact this provider via phone number 6015030558. The mailing address for Andrew Clark is 6220 Old Canton Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andrew Clark |
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Address | 6220 Old Canton Rd, Jackson, Mississippi |
Phone Number | 6015030558 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARM D |
NPI Number Detail
NPI Number | 1760683635 |
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Provider Enumeration Date | 2007-05-30 |
Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
Address | 6220 Old Canton Rd |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392112924 |
Phone Number | 6015030558 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | E-010234 |
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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What is the unique identification code assigned to Andrew Clark by the Centers for Medicare & Medicaid Services?
The Andrew Clark has been issued the NPI (National Provider Identifier) 1760683635. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Andrew Clark's facilities are geographically located?
The facilities of Andrew Clark are physically situated at the following location: 6220 Old Canton Rd, Jackson, MS, 392112924.
What is Andrew Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrew Clark's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Andrew Clark receive its 1760683635 assignment from the Centers for Medicare & Medicaid Services?
The Andrew Clark was assigned its 1760683635 by the Centers for Medicare & Medicaid Services on 2007-05-30.
As of what date were the Andrew Clark's details last updated?
The information pertaining to the Andrew Clark, including its address, specialty, and other details, was most recently updated on 2021-04-27.
NPI Number: 1215930425
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