Clark, Terry Robert

Clark, Terry Robert is an individual health care provider with primary practice located at 402 S 4Th Ave Ste E127 , Yakima WA 98902-3546. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Terry Robert can be contacted via phone (509) 899-4892.

Contact Information

Primary practice address
402 S 4Th Ave Ste E127 Yakima WA 98902-3546
Phone: (509) 899-4892
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH00010513 Washington

Profile Details

NPI number 1245221324
LBN Legal business name Clark, Terry Robert
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245221324 NPPES
Washington Other PH00010513 LICENSE

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