Michael Raymond Clark, is a
Pharmacist based in Twain Harte, California. Michael Raymond Clark is licensed to practice in California (license number 37360) and his current practice location is
22629 Twain Harte Dr Ste D, Twain Harte, California. He can be reached at his office (for appointments etc.) via phone at
(209) 586-3225.
NPI number for Michael Raymond Clark is 1972006005 and his current mailing address is 22118 N Tuolumne Rd, Twain Harte, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972006005.
Healthcare Provider's Profile
Full Name | Michael Raymond Clark |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 22629 Twain Harte Dr Ste D, Twain Harte, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972006005
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 02/28/2024
Medical Identifiers
Medical identifiers for Michael Raymond Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972006005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 37360 (California) | 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 Raymond 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 Raymond Clark, 22118 N Tuolumne Rd, Twain Harte, CA 95383-9605 Ph: (209) 352-1411 | Michael Raymond Clark, 22629 Twain Harte Dr Ste D, Twain Harte, CA 95383-9405 Ph: (209) 586-3225 |
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