Clark'S Pharmacy, Inc

LBN: Clark'S Pharmacy, Inc
Clark'S Pharmacy, Inc is an health care organization with primary practice located at 1946 42Nd St Ne , Cedar Rapids IA 52402-3041. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Clark'S Pharmacy, Inc can be contacted via phone (319) 393-3210, or through Clark, Craig Leo via phone (319) 393-3210.

Contact Information

Primary practice address
1946 42Nd St Ne Cedar Rapids IA 52402-3041
Phone: (319) 393-3210
Fax: (319) 393-2747
Website:
Map and Directions
Authorized official contact:
Name: Clark, Craig Leo RPH
Phone: (319) 393-3210

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1952864233
LBN Legal business name Clark'S Pharmacy, Inc
DBA Doing business as
Authorized official Clark, Craig Leo RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2019
Last updated Apr 12th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952864233 NPPES
Iowa MEDICAID 0133439

Popular Providers