Dr. Stephanie Lee Clack, PharmD, RPh
Pharmacist in Piqua, OH. Individual provider (NPI-1).
NPI number1164024790
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1164024790
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Lee Clack
- Credential
- PharmD, RPh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 03326853 | OH | Yes |
Practice location
1300 E Ash StPiqua, OH 45356-4100
Phone 937-615-9968 · Fax 937-615-9972
Mailing address
1300 E Ash StPiqua, OH 45356-4100
Phone 937-615-9968 · Fax 937-615-9972
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