Individual provider · Type 1 NPI

Joe Boaz Clark Iv

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Sun Prairie, WI

NPI number 1669139309 Active

Practice location

640 E Main St
Sun Prairie, WI 53590-9696

Call (608) 837-3821 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X17466-40 (WI)

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.

4 other providers at this address

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About NPI 1669139309

Joe Boaz Clark Iv's National Provider Identifier is 1669139309, issued on Nov 17, 2021. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Sun Prairie, WI. The record was last updated on Jun 16, 2026.