Roger Clark, RPh
Pharmacist in Sun City West, AZ. Individual provider (NPI-1).
NPI number1205166238
StatusActive
Last updated in NPPESJan 14, 2010
Details
- NPI
- 1205166238
- Entity type
- Individual (NPI-1)
- Name
- Roger Clark
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2010
- Last updated
- Jan 14, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 008487 | AZ | Yes |
Practice location
19003 N R H Johnson BlvdSun City West, AZ 85375-4402
Phone 623-584-3000
Mailing address
19003 N R H Johnson BlvdSun City West, AZ 85375-4402
Phone 623-584-3000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Pharmacist providers in Sun City West · All 823 providers in Sun City West
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