Individual provider · Type 1 NPI

Wade Clark, PharmD

Pharmacist · San Rafael, CA

NPI number 1285849976 Active

Practice location

99 Monticello Rd
San Rafael, CA 94903

Mailing address

2900 Saint Paul Dr Apt 223
Santa Rosa, CA 95405-8527

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH59400 (CA)

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 1285849976

Wade Clark, PharmD's National Provider Identifier is 1285849976, issued on May 14, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.