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MR. DENNIS RAY CLARK R.PH. NPI 1750629267


NPI Information

NPI: 1750629267
Provider Name: MR. DENNIS RAY CLARK, R.PH.
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
162 NE BEACON DR
SUITE #109
GRANTS PASS, OR
ZIP 97526
Phone: (541) 474-3784
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MR. Dennis Ray Clark, R.PH. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Grants Pass, OR. 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. MR. Dennis Ray Clark, R.PH. NPI is 1750629267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

162 NE BEACON DR
SUITE #109
GRANTS PASS, OR
ZIP 97526-260
Phone: (541) 474-3784

The enumeration date for this NPI number is 1/18/2013 and was last updated on 1/18/2013.


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
1183500000XPharmacist7947OREGONNo
21835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist7947OREGONYes

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: 4/28/2024

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