Carol Clark
Organization Active NPI Pharmacy · Marion, AR
NPI 1497210355 · NPPES record last updated Feb 5, 2019
Key facts
- NPI
- 1497210355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- CAROL CLARK
- Practice address
- 134 Block St
Marion, AR 72364-1956 - Phone
- (870) 739-1111
- Fax
- (870) 739-1116
- NPI assigned
- Feb 5, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROL CLARK
Authorized official
- Name
- Carol Riley Clark
- Title
- Owner
- Phone
- (870) 792-7177
Practitioners 3
-
Carol Riley Clark, PHARM.D
-
Mark Wayne Clark, DBA MARION FAMILY
-
Laura Hartley, PHARM. D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2264731 | Marion Family Pharmacy | Certificate of waiver | Jul 18, 2026 |
National Provider Directory
- Part of
- Clarks Family Pharmacy
Locations
708 Commerce St
Earle, AR 72331
Phone (870) 792-7177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
134 Block St
Marion, AR 72364-1956
Mailing address
134 Block St
Marion, AR 72364-1956
Phone (870) 739-1111
Other names
- Marion Family Pharmacy
Other providers in Marion, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.