Clark'S Pharmacy INC
Pharmacy, Compounding Pharmacy in Bellevue, WA. Organization (NPI-2).
NPI number1508907130
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1508907130
- Entity type
- Organization (NPI-2)
- Legal business name
- Clark'S Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | CF00002400 | WA | Yes |
Practice location
15615 Bel Red RdBellevue, WA 98008-2300
Phone 425-881-0222
Mailing address
15615 Bel Red RdBellevue, WA 98008-2300
Authorized official
Mark Clark
Owner
4258810222
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