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

KRISTIE DAWN CLARK, PHARMD, CDE

Active Sole Proprietor

KRISTIE DAWN CLARK, PHARMD, CDE is a Pharmacist Clinician (PhC) healthcare provider located in CHARLOTTE, North Carolina. NPI 1619222932 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · CHARLOTTE, NC

Registration Details

NPI Number
1619222932
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2012 (14.097155433645 yrs)
Last Updated
Jan 16, 2025
Licenses
17299 (NC)
0070-00413 (NC)
Sole Proprietor
Yes

Practice Information

Address
10816 BLACK DOG LN STE 160
CHARLOTTE, NC, 282141479
Browse NC providers · Browse ZIP 28214
Phone
7043163970
Fax
7043163971
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in CHARLOTTE, NC

Name Credential NPI
MONICA P ALSTON PHARMD, BCPS 1477518900
ROBERT MICHAEL RANGEL PHARM.D. 1609007467
DR. COLLEEN SAYIDA JOHNSON-MCLANE PHARMD 1417281361
MARGUERITE CONGER ASON PHARM.D 1306175609
MS. DONNA C HORTON-BOWREY RPH 1982926655
MRS. KALA PATEL PAI RPH 1558655100
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.