Individual provider · Type 1 NPI

Kelly Dawn Clark, RPH

Pharmacist · Champaign, IL

NPI number 1780703520 Active

Practice location

1802 S Mattis Ave
Champaign, IL 61821-5923

Call (217) 326-1399 Map

Mailing address

3405 Country Bend Pl
Champaign, IL 61822-6155

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XNone listed

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 1780703520

Kelly Dawn Clark, RPH's National Provider Identifier is 1780703520, issued on Mar 29, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.