Individual provider · Type 1 NPI
Douglas Lee Clark
Pharmacist · Minocqua, WI
Practice location
9750 Highway 70
Minocqua, WI 54548-9753
Fax (715) 356-0011
Mailing address
PO Box 50
Minocqua, WI 54548-0050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 10717-40 (WI) |
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…
Another provider at this address
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- Kara Fieck, RPHPharmacist Minocqua, WI NPI 1306444369
- Michael Andrew KolarchekPharmacist Minocqua, WI NPI 1578264198
- Semra Lisa Johnson, RPHPharmacist Minocqua, WI NPI 1609474121
About NPI 1760735328
Douglas Lee Clark's National Provider Identifier is 1760735328, issued on Oct 19, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Minocqua, WI. The record was last updated on Oct 19, 2012.