CLARK'S RX FARMINGTON, LLC (CLARK'S RX) - NPI NUMBER 1053659045

Summary

Provider Name: CLARK'S RX FARMINGTON, LLC (CLARK'S RX)

NPI Number: 1053659045

NPI Type: Organization

Clasification: Pharmacy (333600000X)

Address:
18 W KARSCH BLVD
FARMINGTON, MO
ZIP 63640

Phone Number: (573) 454-2650



Detailed Information

CLARK'S RX FARMINGTON, LLC is a pharmacy in Farmington, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. The assigned NPI number for this provider is 1053659045 and is registered as an organization entity type.
The provider Is Doing Business As Clark's Rx.

The provider's business address is:

18 W KARSCH BLVD
FARMINGTON, MO
ZIP 63640-411
Phone: (573) 454-2650
Fax: (573) 454-2651

The provider's authorized official is Timothy Richard Clark .
The authorized official title is Owner/president and has the following contact phone number (937) 428-7970.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 1/25/2013.

Map - Location of Practice




This page was last updated on: 5/13/2015

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