Individual provider · Type 1 NPI

Timothy Allen Clark

Pharmacist · East Jordan, MI

NPI number 1437458692 Active

Practice location

250 S Lake St
East Jordan, MI 49727-9376

Call (231) 536-0901 Map

Fax (231) 536-3284

Mailing address

1683 E Gruler Rd
Petoskey, MI 49770-8821

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	5302025259 (MI)

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…

4 other providers at this address

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About NPI 1437458692

Timothy Allen Clark's National Provider Identifier is 1437458692, issued on Mar 26, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in East Jordan, MI. The record was last updated on Mar 26, 2011.