Organization
CLARKS RX LLC
Active
Other names
Independent RX Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CLARK (PRESIDENT)
(937) 610-3051
Entity
Organization
Contact information
Practice address
922 SENATE DR, CENTERVILLE, OH 45459-4017
(937) 610-3051
(937) 610-3048
Mailing address
922 SENATE DR, CENTERVILLE, OH 45459-4017
(937) 610-3051
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021907400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117533
PK
—
Enumeration date
10/23/2008
Last updated
11/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us