Dr Bruce Edward Clark, PHARMD is a
Pharmacist based in Coarsegold, California. Dr Bruce Edward Clark is licensed to practice in California (license number RPH 30899) and his current practice location is
35300 Highway 41, Ste 101, Coarsegold, California. He can be reached at his office (for appointments etc.) via phone at
(888) 249-8884.
NPI number for Dr Bruce Edward Clark is 1225404791 and his current mailing address is 35300 Highway 41, Ste 101, Coarsegold, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225404791.
Healthcare Provider's Profile
| Full Name | Dr Bruce Edward Clark |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 35300 Highway 41, Coarsegold, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225404791
- Provider Enumeration Date: 08/19/2015
- Last Update Date: 08/19/2015
Medical Identifiers
Medical identifiers for Dr Bruce Edward Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225404791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPH 30899 (California) | Primary |
| 1835P1200X | Pharmacist - Pharmacotherapy | RPH 30899 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Edward Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce Edward Clark, PHARMD
35300 Highway 41, Ste 101,
Coarsegold, CA 93614-8715
Ph: (888) 249-8884 | Dr Bruce Edward Clark, PHARMD
35300 Highway 41, Ste 101,
Coarsegold, CA 93614-8715
Ph: (888) 249-8884 |
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