Individual provider · Type 1 NPI
Kenneth R. Clark
Pharmacist · Pascagoula, MS
Practice location
4211 Hospital St Ste 104
Pascagoula, MS 39581-5310
Fax (228) 762-7786
Mailing address
2415 Beach Blvd
Pascagoula, MS 39567-1422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | E-06773 (MS) |
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 1821119959
Kenneth R. Clark's National Provider Identifier is 1821119959, issued on Apr 3, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pascagoula, MS. The record was last updated on Nov 15, 2017.