Individual provider · Type 1 NPI

Tyler Todd Clark

Pharmacist · Owatonna, MN

NPI number 1629685698 Active

Practice location

1130 W Frontage Rd
Owatonna, MN 55060-5662

Mailing address

325 Hoffman Dr Apt 312
Owatonna, MN 55060-3282

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X124582 (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 1629685698

Tyler Todd Clark's National Provider Identifier is 1629685698, issued on Sep 24, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Owatonna, MN. The record was last updated on Sep 24, 2020.