Clark, Wade

Clark, Wade is an individual health care provider with primary practice located at 99 Monticello Rd , San Rafael CA 94903. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Wade can be contacted via phone (415) 444-2000.

Contact Information

Primary practice address
99 Monticello Rd San Rafael CA 94903
Phone: (415) 444-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH59400 California

Profile Details

NPI number 1285849976
LBN Legal business name Clark, Wade
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 17 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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