Clark Retirement Pharmacy

NPI 1023170412 - Pharmacy - 333600000X

NPI Details
NPI 1023170412
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT ROBERT
Position CEO
Phone (616) 452-1568
Fax
Practice Location
1551 FRANKLIN ST SE
GRAND RAPIDS MI, 49506-8203, US
Phone (616) 452-1568
Fax
Business Location
1551 FRANKLIN ST SE
GRAND RAPIDS MI, 49506-8203, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Clark Retirement Pharmacy NPI is 1023170412, taxonomy code is 333600000X Clark Retirement Pharmacy physically located at 1551 Franklin St Se, Grand Rapids MI, 49506-8203. NPI Number 1033115704 has the healthcare provider type.

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1023170412 NPI number is provided on an as is basis without warranty of any kind. 1023170412 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Retirement Pharmacy are for informational purposes only.