Clark, Thomas

Clark, Thomas is an individual health care provider with primary practice located at 429 Delaware St , Leavenworth KS 66048-2732. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Thomas can be contacted via phone (913) 651-7455.

Contact Information

Primary practice address
429 Delaware St Leavenworth KS 66048-2732
Fax: (913) 682-4220
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1-09492 Kansas

Profile Details

NPI number 1154753341
LBN Legal business name Clark, Thomas
Credentials RPH,MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2013
Last updated Jul 30th, 2013 - about 13 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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