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Mr. Kenneth R Clark
Pharmacist in Pascagoula, Mississippi
NPI 1821119959

Kenneth R Clark is a Pharmacist based in Pascagoula, MS. Kenneth R Clark practices in Pascagoula, MS. The NPI Number for Kenneth R Clark is 1821119959 and holds a License No. E-06773 (Mississippi).

The current practice location address for Kenneth R Clark is 4211 Hospital St Ste 104, Pascagoula, MS and can be reached out via phone at 228-762-1940 and via fax at 228-762-7786. You can also correspond with Kenneth R Clark through the mailing address at 2415 BEACH BLVD, PASCAGOULA, MS - 39567-1422 (mailing address contact number: 228-623-1392).

Location: 4211 Hospital St Ste 104, Pascagoula, MS, 39567-1422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821119959
Provider Name
Kenneth R Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4211 Hospital St Ste 104, Pascagoula, MS, 39567-1422
Phone Number
228-762-1940
Fax Number
228-762-7786
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4211 Hospital St Ste 104
City
Pascagoula
State
Mississippi
Zip
39581-5310
Phone Number
228-762-1940
Fax Number
228-762-7786
person
Provider Business Mailing Address Details
Address
2415 Beach Blvd
City
Pascagoula
State
Mississippi
Zip
39567-1422
Phone Number
228-623-1392
Fax Number
228-762-7786
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E-06773 (Mississippi)
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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