Individual provider · Type 1 NPI
Matilda Anne Clark, RPH.
Pharmacist · Portsmouth, VA
Practice location
620 John Paul Jones Cr
Portsmouth, VA 23708-2197
Mailing address
515 Parker Rd
Chesapeake, VA 23322-5827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 0202005078 (VA) |
| Pharmacist | 183500000X | 08296 (NC) |
| Pharmacist | 183500000X | RPH015157 (GA) |
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 1497735583
Matilda Anne Clark, RPH.'s National Provider Identifier is 1497735583, issued on Jan 17, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 13, 2026.