Individual provider · Type 1 NPI

Michael John Clark, RPH

Pharmacist · Green Bay, WI

NPI number 1386920239 Active

Practice location

1979 Lime Kiln Rd
Green Bay, WI 54311-6219

Call (920) 288-0638 Map

Fax (920) 288-0645

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X12691-040 (WI)

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 1386920239

Michael John Clark, RPH's National Provider Identifier is 1386920239, issued on Oct 24, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Green Bay, WI. The record was last updated on Oct 24, 2011.