Clark Pharmacy Llc in Willis - Community/retail Pharmacy
Clark Pharmacy Llc - NPI 1427163625
Clark Pharmacy Llc is a Community/retail Pharmacy in Willis, Texas. Clark Pharmacy Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Clark Pharmacy Llc is 1427163625. The last update date is 2011-03-30.
Clark Pharmacy Llc's current location address is 502 W Montgomery St, Willis, Texas. You can contact this provider via phone number 9368564594 and fax number 9368563512. The mailing address for Clark Pharmacy Llc is 502 W Montgomery St, Willis, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Pharmacy Llc |
|---|---|
| Address | 502 W Montgomery St, Willis, Texas |
| Phone Number | 9368564594 |
| Fax Number | 9368563512 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Gingrich Bruce |
| Telephone Number | 2812323940 |
NPI Number Detail
| NPI Number | 1427163625 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2011-03-30 |
Provider Mailing Address Detail
| Address | 502 W Montgomery St |
|---|---|
| City | Willis |
| State | Texas (TX) |
| Post Code | 773788827 |
| Phone Number | 9368564594 |
| Fax Number | 9368563512 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 24189 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4510687 | NCPDP PROVIDER IDENTIFICATION | ||
| 140591 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Clark Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Clark Pharmacy Llc has been issued the NPI (National Provider Identifier) 1427163625. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Clark Pharmacy Llc is physically located?
The Clark Pharmacy Llc is situated at the following address: 502 W Montgomery St, Willis, TX 773788827.
What is Clark Pharmacy Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clark Pharmacy Llc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
When did Clark Pharmacy Llc receive its 1427163625 assignment?
The Clark Pharmacy Llc was assigned its 1427163625 on 2006-08-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Clark Pharmacy Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clark Pharmacy Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-30.