Josh Bryan Clark, PharmD
Pharmacist in Raceland, KY. Individual provider (NPI-1).
NPI number1164070496
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1164070496
- Entity type
- Individual (NPI-1)
- Name
- Josh Bryan Clark
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2019
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 023596 | KY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
125 Armada BlvdRaceland, KY 41169-1004
Phone 606-923-3392
Mailing address
125 Armada BlvdRaceland, KY 41169-1004
Phone 606-923-3392
Other practice locations
1900 Argillite Rd
Flatwoods, KY 41139-1616
Flatwoods, KY 41139-1616
Phone 606-836-2498
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