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Timothy Allen Clark
Pharmacist in East Jordan, Michigan
NPI 1437458692

Timothy Allen Clark is a Pharmacist based in Petoskey, MI. Timothy Allen Clark practices in East Jordan, MI. The NPI Number for Timothy Allen Clark is 1437458692 and holds a License No. 5302025259 (Michigan).

The current practice location address for Timothy Allen Clark is 250 S Lake St, East Jordan, MI and can be reached out via phone at 231-536-0901 and via fax at 231-536-3284.

Location: 250 S Lake St, East Jordan, MI, 49770-8821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437458692
Provider Name
Timothy Allen Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
250 S Lake St, East Jordan, MI, 49770-8821
Phone Number
231-536-0901
Fax Number
231-536-3284
Provider Enumeration Date
03/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 S Lake St
City
East Jordan
State
Michigan
Zip
49727-9376
Phone Number
231-536-0901
Fax Number
231-536-3284
person
Provider Business Mailing Address Details
Address
250 S Lake St
City
East Jordan
State
Michigan
Zip
49727-9376
Phone Number
231-536-0901
Fax Number
231-536-3284
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302025259 (Michigan)
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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