Individual provider · Type 1 NPI

Paul Graham Clark

Pharmacist · West Plains, MO

NPI number 1649499146 Active

Practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Call (417) 256-9111 Map

Fax (417) 257-6727

Mailing address

418 County Road 804
Gamaliel, AR 72537-9767

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X044351 (MO)

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 1649499146

Paul Graham Clark's National Provider Identifier is 1649499146, issued on Apr 24, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in West Plains, MO. The record was last updated on Jul 8, 2007.