Individual provider · Type 1 NPI

William Ray Clark Jr., PHARM D

Pharmacist · Ithaca, NY

NPI number 1689908246 Active

Practice location

513 N Cayuga St
Ithaca, NY 14850-3663

Call (607) 272-8333 Map

Fax (607) 272-8366

Other practice locations

  • 130 Main St, Moravia, NY 13118-3689 · (315) 497-9600

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPR5745 (ME)
Pharmacist Primary 183500000X058841 (NY)

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 1689908246

William Ray Clark Jr., PHARM D's National Provider Identifier is 1689908246, issued on Sep 29, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ithaca, NY. The record was last updated on Jan 22, 2025.