Individual
SEAN WILLIAM CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2123 AUBURN AVE STE 236, CINCINNATI, OH 45219-2906
(513) 263-9616
Mailing address
2123 AUBURN AVE STE 236, CINCINNATI, OH 45219-2906
(513) 263-9616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP0010250
WV
1835P2201X
Ambulatory Care Pharmacist
Primary
03440031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194249029
NPI
—
Enumeration date
08/02/2017
Last updated
10/06/2025
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