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CLARK'S RX FARMINGTON LLC NPI 1053659045

NPI Profile

NPI: 1053659045

Provider Name: CLARK'S RX FARMINGTON, LLC

Doing Business As: CLARK'S RX

Classification: Pharmacy - 333600000X

Entity Type: Organization

Address:
18 W KARSCH BLVD
FARMINGTON, MO
ZIP 63640

Phone: (573) 454-2650

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. CLARK'S RX FARMINGTON, LLC NPI is 1053659045. The provider is registered as an organization entity type.
The provider Is Doing Business As Clark's Rx.

The provider's business location 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

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 333600000X Pharmacy Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015