Dr. Ian Clarke, Pharm.D.
Pharmacist in Port Saint Lucie, FL. Individual provider (NPI-1).
NPI number1164026894
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1164026894
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ian Clarke
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2020
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | ps61498 | FL | Yes |
Practice location
9000 S Us Highway 1Port Saint Lucie, FL 34952-3408
Phone 772-337-0112
Mailing address
9000 S Us Highway 1Port Saint Lucie, FL 34952-3408
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