CLARKS RX LLC NPI 1154574010

NPI Information

NPI: 1154574010
Provider Name: CLARKS RX LLC

Doing Business As: INDEPENDENT RX LONG TERM CARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
922 SENATE DR
CENTERVILLE, OH
ZIP 45459
Phone: (937) 610-3051
Get Directions

CLARKS RX LLC is a long term care pharmacy pharmacy in Centerville, OH. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CLARKS RX LLC NPI is 1154574010. The provider is registered as an organization entity type.
The provider Is Doing Business As Independent Rx Long Term Care.

The provider's business location address is:

922 SENATE DR
CENTERVILLE, OH
ZIP 45459-017
Phone: (937) 610-3051
Fax: (937) 610-3048

The provider's authorized official is Timothy Clark .
The authorized official title is President and has the following contact phone number (937) 610-3051.

The enumeration date for this NPI number is 10/23/2008 and was last updated on 11/3/2021.

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				No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy	021907400	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2117533	OTHER		PK

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »