Clark, Sean
Clark, Sean is an sole proprietor health care provider with primary practice located at 2407 Stringer Gap Rd , Grants Pass OR 97527-9573. 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, Sean can be contacted via phone (541) 660-7657.Contact Information
Primary practice address
2407 Stringer Gap Rd
Grants Pass OR 97527-9573
Phone: (541) 660-7657
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 0015445 | Oregon |
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0015445 | Oregon |
Profile Details
NPI number | 1235681966 |
---|---|
LBN Legal business name | Clark, Sean |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 28th, 2016 |
Last updated | Feb 5th, 2019 - about 5 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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