Monique Clark, RPh
Pharmacist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1396913596
StatusActive
Last updated in NPPESFeb 11, 2008
Details
- NPI
- 1396913596
- Entity type
- Individual (NPI-1)
- Name
- Monique Clark
- Credential
- RPh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2008
- Last updated
- Feb 11, 2008
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 | 3190 | MT | Yes |
Practice location
1 Veterans DrWarfarin Clinic/Pharm (119)
Minneapolis, MN 55417-2309
Phone 612-467-2198 · Fax 612-727-5996
Mailing address
1 Veterans DrWarfarin Clinic/Pharm (119)
Minneapolis, MN 55417-2309
Phone 612-467-2198 · Fax 612-727-5996
Is something wrong?
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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