| NPI | 1609203058 |
|---|---|
| Doing Business As | CLARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DYLAN MONICAL Owner 620-855-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 213010) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2026-01-16 |