Individual provider · Type 1 NPI

Katherine T. Clark, PharmD

Pharmacist · Mishawaka, IN

NPI number 1770146243 Active

Practice location

60101 Bodnar Blvd Ste 100
Mishawaka, IN 46544-9328

Mailing address

611 E Douglas Rd Ste 406
Mishawaka, IN 46545-1468

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26027104A (IN)

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 1770146243

Katherine T. Clark, PharmD's National Provider Identifier is 1770146243, issued on Apr 19, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mishawaka, IN. The record was last updated on May 21, 2021.