Wade Clark is a Pharmacist in Santa Rosa, California. Wade Clark practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Wade Clark is 1285849976. The last update date is 2007-07-08.
Wade Clark's current location address is 2900 Saint Paul Dr Apt 223, Santa Rosa, California. You can contact this provider via phone number 5302493354. The mailing address for Wade Clark is 2900 Saint Paul Dr Apt 223, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wade Clark |
|---|---|
| Address | 2900 Saint Paul Dr Apt 223, Santa Rosa, California |
| Phone Number | 5302493354 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1285849976 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2900 Saint Paul Dr Apt 223 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954058527 |
| Phone Number | 5302493354 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RPH59400 |
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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 identifier code assigned to Wade Clark by the Centers for Medicare & Medicaid Services?
The Wade Clark has been issued the NPI (National Provider Identifier) 1285849976 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Wade Clark?
The Wade Clark is situated at 2900 Saint Paul Dr Apt 223, in the city of Santa Rosa, state of CA, with the zip code 954058527.
What is Wade Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wade Clark's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
When was the Wade Clark's 1285849976 issued?
The Wade Clark's 1285849976 was issued on 2007-05-14.
When was the information regarding Wade Clark most recently updated?
The details pertaining to the Wade Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1376546309
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