Michael J Clark, is a
Pharmacist based in Mammoth Spring, Arkansas. Michael J Clark is licensed to practice in Arkansas (license number PD12709) and his current practice location is
270 Main St, Mammoth Spring, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 625-3222.
NPI number for Michael J Clark is 1467894766 and his current mailing address is 270 Main St, Mammoth Spring, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467894766.
Healthcare Provider's Profile
| Full Name | Michael J Clark |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 270 Main St, Mammoth Spring, Arkansas |
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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: 1467894766
- Provider Enumeration Date: 07/27/2013
- Last Update Date: 11/27/2020
Medical Identifiers
Medical identifiers for Michael J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467894766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 2013026461 (Missouri) | Secondary |
| 183500000X | Pharmacist | PD12709 (Arkansas) | 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. Michael J 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 |
|---|
Michael J Clark,
270 Main St,
Mammoth Spring, AR 72554-7466
Ph: (870) 625-3222 | Michael J Clark,
270 Main St,
Mammoth Spring, AR 72554-7466
Ph: (870) 625-3222 |
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