Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH R CLARK
Active Sole ProprietorMR. KENNETH R CLARK is a Pharmacist healthcare provider located in PASCAGOULA, Mississippi. NPI 1821119959 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PASCAGOULA, MS
Registration Details
- NPI Number
- 1821119959
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.338956568693 yrs)
- Last Updated
- Nov 15, 2017
- License
-
E-06773 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4211 HOSPITAL ST STE 104PASCAGOULA, MS, 395815310Browse MS providers · Browse ZIP 39581
- Phone
- 2287621940
- Fax
- 2287627786
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in PASCAGOULA, MS
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN S HOLSTON | RPH | 1801861752 |
| DR. CHRISTOPHER RYAN TRAVIS | PHARMD | 1407137417 |
| MRS. LENA MURPHY | PHARMD | 1700288412 |
| TAMMY FREEMAN | — | 1306249867 |
| DAVID WILSON | PHARM.D | 1033580584 |
| DR. DANA PATRICE HILL | PHARMD | 1285005009 |
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.