KRISTIE DAWN CLARK PHARMD CDE NPI 1619222932

NPI Information

Kristie Dawn Clark, PHARMD, CDE is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Concord, NC. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Kristie Dawn Clark, PHARMD, CDE NPI is 1619222932. 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:

200 MEDICAL PARK DR
STE 550
CONCORD, NC
ZIP 28025-982
Phone: (704) 403-1307
Fax: (704) 403-3655

The enumeration date for this NPI number is 7/24/2012 and was last updated on 7/24/2012.

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:

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