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Stacy Clark, RPH
Pharmacist in South Bend, Indiana
NPI 1689950479

Stacy Clark is a Pharmacist based in South Bend, IN. Stacy Clark practices in South Bend, IN and has the professional credentials of RPH. The NPI Number for Stacy Clark is 1689950479 and holds a License No. 5302026870 (Indiana).

The current practice location address for Stacy Clark is 52482 State Road 933, South Bend, IN and can be reached out via phone at 574-271-0357.

Location: 52482 State Road 933, South Bend, IN, 46637-3852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689950479
Provider Name
Stacy Clark
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
52482 State Road 933, South Bend, IN, 46637-3852
Phone Number
574-271-0357
Fax Number
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
52482 State Road 933
City
South Bend
State
Indiana
Zip
46637-3852
Phone Number
574-271-0357
Fax Number
person
Provider Business Mailing Address Details
Address
52482 State Road 933
City
South Bend
State
Indiana
Zip
46637-3852
Phone Number
574-271-0357
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302026870 (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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