Clark, Terry Robert
Clark, Terry Robert is an individual health care provider with primary practice located at 402 S 4Th Ave Ste E127 , Yakima WA 98902-3546. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Terry Robert can be contacted via phone (509) 899-4892.Contact Information
Primary practice address
402 S 4Th Ave Ste E127
Yakima WA 98902-3546
Phone: (509) 899-4892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH00010513 | Washington |
Profile Details
| NPI number | 1245221324 |
|---|---|
| LBN Legal business name | Clark, Terry Robert |
| Credentials | PHARM D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245221324 | NPPES |
| Washington | Other | PH00010513 | LICENSE |
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