Individual provider · Type 1 NPI

Ronald Havis Clark, R.PH.

Pharmacist · San Angelo, TX

NPI number 1992090484 Active

Practice location

4405 Winterberry Ln
San Angelo, TX 76904-4530

Call (830) 708-8648 Map

Mailing address

2625 Southland Blvd Apt 19
San Angelo, TX 76904-7549

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X19993 (TX)
Pharmacist 183500000X0202011257 (VA)

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 1992090484

Ronald Havis Clark, R.PH.'s National Provider Identifier is 1992090484, issued on Jun 13, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Angelo, TX. The record was last updated on Sep 21, 2011.