Clarks Mr Prescription

LBN: Clarks Rx Llc
Clarks Mr Prescription is an health care organization with primary practice located at 414 W Main St , Troy OH 45373-3244. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clarks Rx Llc can be contacted via phone (937) 339-9193, or through Clark, Tim via phone (937) 428-7970.

Contact Information

Primary practice address
414 W Main St Troy OH 45373-3244
Phone: (937) 339-9193
Fax: (937) 339-9195
Website:
Map and Directions
Authorized official contact:
Name: Clark, Tim
Phone: (937) 428-7970

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021502450 Ohio

Profile Details

NPI number 1902906001
LBN Legal business name Clarks Rx Llc
DBA Doing business as Clarks Mr Prescription
Authorized official Clark, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 29th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902906001 NPPES
Other 3673224 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 2536349 NCPDP PROVIDER IDENTIFICATION NUMBER

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