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Mr. Michael John Clark, RPH
Pharmacist in Green Bay, Wisconsin
NPI 1386920239

Michael John Clark is a Pharmacist based in Green Bay, WI. Michael John Clark practices in Green Bay, WI and has the professional credentials of RPH. The NPI Number for Michael John Clark is 1386920239 and holds a License No. 12691-040 (Wisconsin).

The current practice location address for Michael John Clark is 1979 Lime Kiln Rd, Green Bay, WI and can be reached out via phone at 920-288-0638 and via fax at 920-288-0645.

Location: 1979 Lime Kiln Rd, Green Bay, WI, 54311-6219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386920239
Provider Name
Michael John Clark
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1979 Lime Kiln Rd, Green Bay, WI, 54311-6219
Phone Number
920-288-0638
Fax Number
920-288-0645
Provider Enumeration Date
10/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1979 Lime Kiln Rd
City
Green Bay
State
Wisconsin
Zip
54311-6219
Phone Number
920-288-0638
Fax Number
920-288-0645
person
Provider Business Mailing Address Details
Address
1979 Lime Kiln Rd
City
Green Bay
State
Wisconsin
Zip
54311-6219
Phone Number
920-288-0638
Fax Number
920-288-0645
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
12691-040 (Wisconsin)
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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