Individual provider · Type 1 NPI

Jymon Tirae Clark, PharmD

Pharmacist · Concord, NC

NPI number 1174245187 Active

Practice location

920 Church St N
Concord, NC 28025-2927

Call (704) 403-3000 Map

Mailing address

5215 Periwinkle Hill Avenue, Apartment 5414
Charlotte, NC 28213

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X31427 (NC)

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 1174245187

Jymon Tirae Clark, PharmD's National Provider Identifier is 1174245187, issued on Sep 15, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Concord, NC. The record was last updated on Sep 15, 2022.