| NPI | 1699047423 |
|---|---|
| Doing Business As | CLARK'S RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CLARK President 937-428-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 022201700) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2016-04-25 |