Clark, Kristie Dawn
Clark, Kristie Dawn is an sole proprietor health care provider with primary practice located at 200 Medical Park Dr Ste 550, Concord NC 28025-2982. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Clark, Kristie Dawn can be contacted via phone (704) 403-1307.Contact Information
Primary practice address
200 Medical Park Dr Ste 550
Concord NC 28025-2982
Phone: (704) 403-1307
Fax: (704) 403-3655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 17299 | North Carolina |
Profile Details
NPI number | 1619222932 |
---|---|
LBN Legal business name | Clark, Kristie Dawn |
Credentials | PHARMD, CDE |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2012 |
Last updated | Jul 24th, 2012 - about 12 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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