| NPI | 1720145105 |
|---|---|
| Doing Business As | CLARK PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | JAMES COAST Owner 620-855-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 209276) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-12-04 |