Clark Pharmacy INC

NPI #1720145105 in Cimarron, Kansas

Provider Information

NPI Number: 1720145105
Entity Type: Organization
Organization Name: Clark Pharmacy INC
Primary Specialty: Pharmacy - Community/Retail Pharmacy
Enumeration Date: Jan 3, 2007
Last Updated: Dec 4, 2013

Practice Location

Address: 101 S MAIN ST
City: Cimarron
State: Kansas
ZIP Code: 67835-9998
Phone: (620) 855-2242

Authorized Official

Name: JAMES COAST, RPH CGP
Title: OWNER
Phone: (620) 855-2242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy	333600000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X	Primary

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