| NPI | 1992885461 |
|---|---|
| Doing Business As | CLARK'S RX |
| Entity Type | Organization |
| Authorized Contact | TIM RICHARD CLARK Owner/President 419-223-8906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH RTP02014460003) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-09-25 |