Clark, Dennis Ray

Clark, Dennis Ray is an sole proprietor health care provider with primary practice located at 162 Ne Beacon Dr Suite #109, Grants Pass OR 97526-4260. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Clark, Dennis Ray can be contacted via phone (541) 474-3784.

Contact Information

Primary practice address
162 Ne Beacon Dr Suite #109 Grants Pass OR 97526-4260
Phone: (541) 474-3784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7947 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 7947 Oregon

Profile Details

NPI number 1750629267
LBN Legal business name Clark, Dennis Ray
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2013
Last updated Jan 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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