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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN JACOB CLARK, PHARM.D.

Active Sole Proprietor

MR. JOHN JACOB CLARK, PHARM.D. is a Pharmacist healthcare provider located in MENDOTA HEIGHTS, Minnesota. NPI 1427327428 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MENDOTA HEIGHTS, MN

Registration Details

NPI Number
1427327428
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2011 (14.610916255453 yrs)
Last Updated
Oct 30, 2017
Licenses
16503-40 (WI)
120455 (MN)
Sole Proprietor
Yes

Practice Information

Address
1312 NORTHLAND DRIVE
MENDOTA HEIGHTS, MN, 55120
Browse MN providers · Browse ZIP 55120
Phone
8883411542
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in MENDOTA HEIGHTS, MN

Name Credential NPI
DANIEL WILLIAM KOSKI R.PH. 1508856527
PAUL RUDER PHARMD 1891928677
MR. ANDREW JOHN HEUER 1740560358
LINDSEY CATHERINE YZERMANS PHARM.D., RPH 1588946867
JASON LLOYD MOORE PHARMD 1295011989
WENDY ROSSMILLER RPH 1437424520
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.