Individual provider · Type 1 NPI

Kelsey Clark

Pharmacist · Whitewater, WI

NPI number 1972102465 Active

Practice location

1362 W Main St
Whitewater, WI 53190-1504

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X17484 (WI)

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 1972102465

Kelsey Clark's National Provider Identifier is 1972102465, issued on Oct 26, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Whitewater, WI. The record was last updated on Oct 26, 2020.