Individual provider · Type 1 NPI

Mitzi Clark, RPH

Pharmacist · San Antonio, TX

NPI number 1780999748 Active

Practice location

6520 Fratt Rd
San Antonio, TX 78218-4402

Fax (210) 938-4571

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	30439 (TX)

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 1780999748

Mitzi Clark, RPH's National Provider Identifier is 1780999748, issued on Aug 16, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 16, 2010.