Clark Pharmacy Inc

LBN: Clark Pharmacy Inc
Clark Pharmacy Inc is an health care organization with primary practice located at 101 S Main St , Cimarron KS 67835-9998. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clark Pharmacy Inc can be contacted via phone (620) 855-2242, or through Coast, James via phone (620) 855-2242.

Contact Information

Primary practice address
101 S Main St Cimarron KS 67835-9998
Phone: (620) 855-2242
Fax: (620) 855-3616
Website:
Map and Directions
Authorized official contact:
Name: Coast, James RPH CGP
Phone: (620) 855-2242

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 209276 Kansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1720145105
LBN Legal business name Clark Pharmacy Inc
DBA Doing business as Clark Pharmacy Inc
Authorized official Coast, James RPH CGP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 4th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720145105 NPPES
Other 2030734 PK

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