Organization
CLARKS RX LLC
Active
Other names
CLARK'S RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CLARK (PRESIDENT)
(937) 428-7970
Entity
Organization
Contact information
Practice address
675 E 2ND ST, FRANKLIN, OH 45005-1770
(937) 704-9325
(937) 704-9327
Mailing address
7060 SOLUTION CTR, CHICAGO, IL 60677-0001
(937) 428-7970
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021522250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2563613
—
OH
01
—
3673589
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/25/2006
Last updated
08/29/2011
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