# CLARKS RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Independent RX Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154574010
- **Authorized official:** TIMOTHY CLARK (PRESIDENT)
- **Authorized official phone:** (937) 610-3051

## Contact information

- **Practice address:** 922 SENATE DR, CENTERVILLE, OH 45459-4017
- **Practice address phone:** (937) 610-3051
- **Practice address fax:** (937) 610-3048
- **Mailing address:** 922 SENATE DR, CENTERVILLE, OH 45459-4017
- **Mailing address phone:** (937) 610-3051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 021907400 | OH | Yes |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 07/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2117533 | PK | — |