Mr Ross William Clark, RPH is a
Pharmacist based in Melbourne, Louisiana. Mr Ross William Clark is licensed to practice in Florida (license number PS0025442) and his current practice location is
7025 N Wickham Rd, Suite 113, Melbourne, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(321) 253-3535.
NPI number for Mr Ross William Clark is 1871653766 and his current mailing address is 1697a Hwy A.1.a., Satellite Beach, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871653766.
Healthcare Provider's Profile
Full Name | Mr Ross William Clark |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 7025 N Wickham Rd, Melbourne, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871653766
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Ross William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871653766 | NPI | - | NPPES |
PS0025442 | Other | FL | PHARMACY LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | PS0025442 (Florida) | 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. Mr Ross 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 |
Mr Ross William Clark, RPH 1697a Hwy A.1.a., Satellite Beach, LA 32937 Ph: (321) 917-7323 | Mr Ross William Clark, RPH 7025 N Wickham Rd, Suite 113, Melbourne, LA 32940 Ph: (321) 253-3535 |
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