Organization Name: | CLARK'S RX FARMINGTON, LLC |
NPI Number: | 1053659045 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY RICHARD CLARK (OWNER/PRESIDENT) |
Mailing Address: | 18 W Karsch Blvd Farmington |
State: | MO US |
Postal Code: | 636401411 |
Phone Number: | 5734542650 |
Fax Number: | 5734542651 |
NPI Enumeration Date: | 01/25/2013 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |