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DIANE CLARK R.PH. NPI 1558634980


NPI Information

NPI: 1558634980
Provider Name: DIANE CLARK, R.PH.
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
3639 CRATER LAKE HWY
MEDFORD, OR
ZIP 97504
Phone: (541) 734-2482
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Diane Clark, R.PH. is a pharmacist in Medford, OR. The provider is 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. Diane Clark, R.PH. NPI is 1558634980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3639 CRATER LAKE HWY
MEDFORD, OR
ZIP 97504-259
Phone: (541) 734-2482

The enumeration date for this NPI number is 2/15/2012 and was last updated on 1/8/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist7948OREGONNo
2183500000XPharmacist7948OREGONYes

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: 11/14/2023

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