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Organization

CLARK PHARMACY LLC

Active
Parent organization
LIFECHEK AUCHAN PARTNERS LTD
Other names
Main Street Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFECHEK AUCHAN PARTNERS LTD
Authorized official
BRUCE GINGRICH (MANAGING OFFICER)
(281) 232-3940
Entity
Organization

Contact information

Practice address
701 N MAIN ST, SUITE A, DONNA, TX 78537-2765
(956) 461-2400
(956) 461-2412
Mailing address
PO BOX 1047, DONNA, TX 78537
(956) 461-2400
(956) 461-2412

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26899
TX
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2144609
PK
Enumeration date
02/25/2010
Last updated
07/08/2014
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