Individual provider · Type 1 NPI
John Jacob Clark, PharmD
Pharmacist · Mendota Heights, MN
Practice location
1312 Northland Drive
Mendota Heights, MN 55120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 16503-40 (WI) |
| Pharmacist Primary | 183500000X | 120455 (MN) |
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 1427327428
John Jacob Clark, PharmD's National Provider Identifier is 1427327428, issued on Dec 20, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mendota Heights, MN. The record was last updated on Oct 30, 2017.