Jacee Clark, PHARMD

NPI #1043937741 in Ammon, Idaho

Provider Information

NPI Number: 1043937741
Entity Type: Individual
Name: Jacee Clark, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 24, 2022
Last Updated: Oct 24, 2022

Practice Location

Address: 3160 E 17TH ST STE 164
City: Ammon
State: Idaho
ZIP Code: 83406-6784
Phone: (208) 529-1795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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