Individual provider · Type 1 NPI

Samantha Clark, PHARM D

Pharmacist · Hattiesburg, MS

NPI number 1346719861 Active

Practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7201

Call (601) 288-4286 Map

Fax (601) 288-4163

Mailing address

312 S 17th Ave
Hattiesburg, MS 39401-6253

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE-12595 (MS)

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 1346719861

Samantha Clark, PHARM D's National Provider Identifier is 1346719861, issued on Nov 14, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hattiesburg, MS. The record was last updated on Nov 14, 2018.