Individual provider · Type 1 NPI

Stacy R. Clark, PharmD

Pharmacist · Salem, VA

NPI number 1063342541 Active

Practice location

1970 Roanoke Blvd
Salem, VA 24153-6404

Mailing address

5908 Arden Dr
Clemmons, NC 27012-9407

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5781127 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063342541

Stacy R. Clark, PharmD's National Provider Identifier is 1063342541, issued on May 19, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Salem, VA. The record was last updated on Aug 18, 2026.