Clark Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Cimarron, KS
NPI 1720145105 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1720145105
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 209276 (KS)
- Legal business name
- CLARK PHARMACY INC
- Practice address
- 101 S Main St
Cimarron, KS 67835-9998 - Phone
- (620) 855-2242
- Fax
- (620) 855-3616
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
- Name
- James Coast, RPH CGP
- Title
- Owner
- Phone
- (620) 855-2242
Practitioners 2
-
James E Coast, RPH,CGP
-
Matthew Dylan Monical, PHARM.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 209276 | KS | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
101 S Main St
Cimarron, KS 67835-9998
Mailing address
PO Box 207
Cimarron, KS 67835
Phone (620) 855-2242
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030734 | Other | PK |
Other names
- CLARK PHARMACY INC
Other providers in Cimarron, KS
- Beverly Benton
- Burns Chiropractic, PA
- Trevon Trent Burns
- James E Coast
- Michael Edward Coast
- Commonspirit Kansas, Inc.
- Community Wellness Center
- County of Gray
All providers in Cimarron, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.