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Mr. Douglas Lee Clark
Pharmacist in Minocqua, Wisconsin
NPI 1760735328

Douglas Lee Clark is a Pharmacist based in Minocqua, WI. Douglas Lee Clark practices in Minocqua, WI. The NPI Number for Douglas Lee Clark is 1760735328 and holds a License No. 10717-40 (Wisconsin).

The current practice location address for Douglas Lee Clark is 9750 Highway 70, Minocqua, WI and can be reached out via phone at 715-356-9449 and via fax at 715-356-0011.

Location: 9750 Highway 70, Minocqua, WI, 54548-0050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760735328
Provider Name
Douglas Lee Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
9750 Highway 70, Minocqua, WI, 54548-0050
Phone Number
715-356-9449
Fax Number
715-356-0011
Provider Enumeration Date
10/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9750 Highway 70
City
Minocqua
State
Wisconsin
Zip
54548-9753
Phone Number
715-356-9449
Fax Number
715-356-0011
person
Provider Business Mailing Address Details
Address
9750 Highway 70
City
Minocqua
State
Wisconsin
Zip
54548-9753
Phone Number
715-356-9449
Fax Number
715-356-0011
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
10717-40 (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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