Individual
KATIE M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5530 THREE NOTCH RD, MOBILE, AL 36619-1714
(251) 666-0249
Mailing address
5530 THREE NOTCH RD, MOBILE, AL 36619-1714
(251) 666-0249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
NKYX-Z1BIRT
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2023
Last updated
07/16/2025
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