Aaron Christopher Clark, DPH
Individual provider Active NPI Pharmacist · Alcoa, TN
NPI 1942212477 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942212477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9817 (TN)
- Practice address
- 129 Gill St
Alcoa, TN 37701-2656 - Phone
- (865) 984-7704
- Fax
- (865) 984-6220
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9817 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Discount Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9817 | TN | Yes |
Addresses
Primary practice location
129 Gill St
Alcoa, TN 37701-2656
Mailing address
1042 Mount Lebanon Rd
Maryville, TN 37804-5613
Phone (865) 984-3359
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.