Jared William Clark, PHARMD is a
Pharmacist based in Holliday, Texas. Jared William Clark is licensed to practice in Texas (license number 43005) and his current practice location is
602 Ray Rd, Holliday, Texas. He can be reached at his office (for appointments etc.) via phone at
(940) 613-1200.
NPI number for Jared William Clark is 1225643521 and his current mailing address is 602 Ray Rd, Holliday, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225643521.
Healthcare Provider's Profile
Full Name | Jared William Clark |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 602 Ray Rd, Holliday, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225643521
- Provider Enumeration Date: 09/14/2020
- Last Update Date: 09/14/2020
Medical Identifiers
Medical identifiers for Jared William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225643521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 43005 (Texas) | 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. Jared William 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 |
Jared William Clark, PHARMD 602 Ray Rd, Holliday, TX 76366-3855 Ph: (940) 613-1200 | Jared William Clark, PHARMD 602 Ray Rd, Holliday, TX 76366-3855 Ph: (940) 613-1200 |
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