Individual provider · Type 1 NPI

Kathryn Kaib Clark, PharmD

Pharmacist · Kennesaw, GA

NPI number 1730776675 Active

Practice location

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Mailing address

48 Meadow Glen Way
Acworth, GA 30101-5955

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X35470 (SC)
Pharmacist Primary 183500000X18707 (GA)

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 1730776675

Kathryn Kaib Clark, PharmD's National Provider Identifier is 1730776675, issued on Dec 27, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kennesaw, GA. The record was last updated on Dec 27, 2020.