Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS LEE CLARK
Active Sole ProprietorMR. DOUGLAS LEE CLARK is a Pharmacist healthcare provider located in MINOCQUA, Wisconsin. NPI 1760735328 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MINOCQUA, WI
Registration Details
- NPI Number
- 1760735328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2012 (13.796092513443 yrs)
- Last Updated
- Oct 19, 2012
- License
-
10717-40 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9750 HIGHWAY 70MINOCQUA, WI, 545489753Browse WI providers · Browse ZIP 54548
- Phone
- 7153569449
- Fax
- 7153560011
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in MINOCQUA, WI
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT FRANCIS JOSWIAK | R.PH. | 1245248616 |
| MR. BLAIN E. NYBERG | R.PH. | 1023122561 |
| KARA FIECK | RPH | 1306444369 |
| SEMRA LISA JOHNSON | RPH | 1609474121 |
| DR. MICHAEL ANDREW KOLARCHEK | — | 1578264198 |
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.