Organization
CLARK'S RX LLC
Active
Other names
Clark's RX
Organization subpart
No
Provider details
NPI number
Authorized official
TIM RICHARD CLARK RPH (OWNER/PRESIDENT)
(419) 223-8906
Entity
Organization
Contact information
Practice address
701 W MARKET ST, LIMA, OH 45801-4601
(419) 223-8906
(419) 222-1619
Mailing address
701 W MARKET ST, LIMA, OH 45801-4601
(419) 223-8906
(419) 222-1619
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RTP02014460003
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337451
—
OH
01
—
2072874
PK
—
Enumeration date
10/17/2006
Last updated
09/25/2014
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