Dr Robert Justin Clark, PHARMD is a
Pharmacist based in Caledonia, Mississippi. Dr Robert Justin Clark is licensed to practice in Mississippi (license number E-11912) and his current practice location is
741 Main St, Caledonia, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 356-4000.
NPI number for Dr Robert Justin Clark is 1356944003 and his current mailing address is Po Box 478, Caledonia, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356944003.
Healthcare Provider's Profile
| Full Name | Dr Robert Justin Clark |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 741 Main St, Caledonia, Mississippi |
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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: 1356944003
- Provider Enumeration Date: 11/17/2020
- Last Update Date: 11/17/2020
Medical Identifiers
Medical identifiers for Dr Robert Justin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356944003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | E-11912 (Mississippi) | Primary |
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 Robert Justin 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 Robert Justin Clark, PHARMD
Po Box 478,
Caledonia, MS 39740-0478
Ph: (662) 356-4000 | Dr Robert Justin Clark, PHARMD
741 Main St,
Caledonia, MS 39740-7609
Ph: (662) 356-4000 |
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