| Doctor Name: | DR. CLARKE ST.DENNIS |
| NPI Number: | 1063492775 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH, PHD, BCPP |
| License Number: | PH00009320 |
| Business Practice Address: | 850 West Maple Street Eastern State Hospital Medical Lake, WA - 99022 |
| Business Phone Number: | 5092994466 |
| Business Fax Number: | |
| Mailing Address: | 1421 S Kahuna Dr, SPOKANE VALLEY |
| State: | WA |
| Postal Code: | 992123243 |
| Phone Number: | 5092209326 |
| Fax Number: | 5093587744 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P1300X |
| License Number: | PH00009320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Psychiatric |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |