Individual provider · Type 1 NPI

Kristie Dawn Clark, PharmD, CDE

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Charlotte, NC

NPI number 1619222932 Active

Practice location

10816 Black Dog Ln Ste 160
Charlotte, NC 28214-1479

Call (704) 316-3970 Map

Fax (704) 316-3971

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 · (704) 403-1307

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X17299 (NC)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X0070-00413 (NC)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

2 other providers at this address

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About NPI 1619222932

Kristie Dawn Clark, PharmD, CDE's National Provider Identifier is 1619222932, issued on Jul 24, 2012. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Charlotte, NC. The record was last updated on Jan 16, 2025.