National Provider Identifier Database

ANDREW CLARK, PHARM.D. – NPI #1760683635
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

ANDREW CLARK, PHARM.D.
6220 OLD CANTON RD
JACKSON, MS39211-2924
Phone: 601-503-0558
Fax:
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for ANDREW CLARK

NPI Number 1760683635
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 05/30/2007
Last updated 04/27/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MS License #: E-010234
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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