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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720145105 | NPPES |
| Other | 2030734 | PK |
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