Clark, Tracy M

Clark, Tracy M is an individual health care provider with primary practice located at 3409 Worth St 725, Dallas TX 75246-2029. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Clark, Tracy M can be contacted via phone (214) 276-5616.

Contact Information

Primary practice address
3409 Worth St 725 Dallas TX 75246-2029
Phone: (214) 276-5616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 119588 Texas

Profile Details

NPI number 1992928097
LBN Legal business name Clark, Tracy M
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Feb 8th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992928097 NPPES
Texas Other 119588 TEXAS STATE BOARD OF PHARMACY
Texas Other 170109717629639 TEXAS STATE BOARD OF PHARMACY

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