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Mr. Tony Dale Clark
Pharmacist in Lenexa, Kansas
NPI 1821685157

Tony Dale Clark is a Pharmacist based in Shawnee, KS. Tony Dale Clark practices in Lenexa, KS. The NPI Number for Tony Dale Clark is 1821685157 and holds a License No. 1-15358 (Kansas).

The current practice location address for Tony Dale Clark is 12200 W 95Th St, Lenexa, KS and can be reached out via phone at 913-894-2093 and via fax at 913-894-8167.

Location: 12200 W 95Th St, Lenexa, KS, 66226-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821685157
Provider Name
Tony Dale Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
12200 W 95Th St, Lenexa, KS, 66226-3510
Phone Number
913-894-2093
Fax Number
913-894-8167
Provider Enumeration Date
12/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12200 W 95Th St
City
Lenexa
State
Kansas
Zip
66215-3806
Phone Number
913-894-2093
Fax Number
913-894-8167
person
Provider Business Mailing Address Details
Address
12200 W 95Th St
City
Lenexa
State
Kansas
Zip
66215-3806
Phone Number
913-894-2093
Fax Number
913-894-8167
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
1-15358 (Kansas)
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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