Individual provider · Type 1 NPI

Jodi Clark

Pharmacist · Staten Island, NY

NPI number 1346562162 Active

Practice location

260 Arden Ave
Staten Island, NY 10312-1229

Fax (718) 966-0044

Mailing address

729 Woodrow Rd
Staten Island, NY 10312-2221

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051946 (NY)

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 1346562162

Jodi Clark's National Provider Identifier is 1346562162, issued on Feb 21, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 21, 2010.