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Contact Information

CLARK COMMUNITY PHARMACY INC
211 N COMMERCIAL ST
CLARK, SD57225-1525
 Phone: 605-532-3400
 Fax: 605-532-3402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CLARK COMMUNITY PHARMACY INC

NPI # 1588778567
LBN Legal business name CLARK COMMUNITY PHARMACY INC
Authorized official BEVERLY SPLINTER - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 03/31/2016 - About 10 years ago
Identifiers
SD License # 1001847
SD Medicaid 8504042
Other 2094249 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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