Chelsey Clark
Pharmacist in Troy, MO. Individual provider (NPI-1).
NPI number1609477017
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1609477017
- Entity type
- Individual (NPI-1)
- Name
- Chelsey Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2018029988 | MO | Yes |
Practice location
101 Highway 47 ETroy, MO 63379-3100
Phone 636-462-6366
Mailing address
101 Highway 47 ETroy, MO 63379-3100
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