Individual provider · Type 1 NPI

Michael R. Clark Jr., PharmD

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Campbell, KY

NPI number 1861711046 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-4677 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XRPH024877 (GA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XRPH024877 (GA)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1861711046

Michael R. Clark Jr., PharmD's National Provider Identifier is 1861711046, issued on May 26, 2010. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Fort Campbell, KY. The record was last updated on Jun 18, 2025.