# CLARK'S PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952864233
- **Authorized official:** MR. CRAIG LEO CLARK RPH (RPH/OWNER)
- **Authorized official phone:** (319) 393-3210

## Contact information

- **Practice address:** 1946 42ND ST NE, CEDAR RAPIDS, IA 52402-3041
- **Practice address phone:** (319) 393-3210
- **Practice address fax:** (319) 393-2747
- **Mailing address:** 1946 42ND ST NE, CEDAR RAPIDS, IA 52402-3041
- **Mailing address phone:** (319) 393-3210

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 04/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0133439 | — | IA |