| Timothy Allen Clark, | |
|
250 S Lake St, East Jordan, MI 49727-9376 | |
| (231) 536-0901 | |
| (231) 536-3284 |
| Full Name | Timothy Allen Clark |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 250 S Lake St, East Jordan, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437458692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 5302025259 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Allen Clark, 1683 E Gruler Rd, Petoskey, MI 49770-8821 Ph: (231) 347-6269 | Timothy Allen Clark, 250 S Lake St, East Jordan, MI 49727-9376 Ph: (231) 536-0901 |
Dr. Keith David Nowak, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 250 S Lake St, Suite A, East Jordan, MI 49727 Phone: 231-536-0901 | |
Mr. Larry C Dittmar, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 250 S Lake St, East Jordan, MI 49727 Phone: 231-536-0901 | |
Joshua Lewis, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 250 S Lake St Ste A, East Jordan, MI 49727 Phone: 231-536-0901 | |
Richard L Mason, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 250 S Lake Street, East Jordan, MI 49727 Phone: 231-536-9010 | |
Joseph Peter Doyle Iii, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 250 S Lake St Ste A, East Jordan, MI 49727 Phone: 231-536-0901 | |
Jay Mcculloch, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 250 S Lake St, East Jordan, MI 49727 Phone: 231-536-0901 |