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Keaton Tyler Clark
Pharmacist in Toccoa, Georgia
NPI 1255935417

Keaton Tyler Clark is a Pharmacist based in Toccoa, GA. Keaton Tyler Clark practices in Toccoa, GA. The NPI Number for Keaton Tyler Clark is 1255935417 and holds a License No. RPH034437 (Georgia).

The current practice location address for Keaton Tyler Clark is 959 Big A Rd, Toccoa, GA and can be reached out via phone at 706-886-6876.

Location: 959 Big A Rd, Toccoa, GA, 30577-8310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255935417
Provider Name
Keaton Tyler Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
959 Big A Rd, Toccoa, GA, 30577-8310
Phone Number
706-886-6876
Fax Number
Provider Enumeration Date
11/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
959 Big A Rd
City
Toccoa
State
Georgia
Zip
30577-6026
Phone Number
706-886-6876
Fax Number
person
Provider Business Mailing Address Details
Address
959 Big A Rd
City
Toccoa
State
Georgia
Zip
30577-6026
Phone Number
706-886-6876
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH034437 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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