Organization
CLARK PHARMACY INC
Active
Other names
Fullerton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IL HWANG PHARMD (PRESIDENT)
(773) 887-4052
Entity
Organization
Contact information
Practice address
5305 W FULLERTON AVE, CHICAGO, IL 60639-1424
(773) 877-4052
Mailing address
5305 W FULLERTON AVE, CHICAGO, IL 60639-1424
(773) 877-4052
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054.018328
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Enumeration date
09/12/2013
Last updated
05/05/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up