Organization
CLARK COMMUNITY PHARMACY INC
Active
Other names
CLARK COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY SPLINTER RPH (OWNER PHARMACIST)
(605) 532-3400
Entity
Organization
Contact information
Practice address
211 N COMMERCIAL ST, CLARK, SD 57225-1525
(605) 532-3400
(605) 532-3402
Mailing address
211 N COMMERCIAL ST, CLARK, SD 57225-1525
(605) 532-3400
(605) 532-3402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1001847
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094249
PK
—
05
—
8504042
—
SD
Enumeration date
08/18/2006
Last updated
03/31/2016
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