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

MR. ROSS WILLIAM CLARK, RPH

Active Sole Proprietor

MR. ROSS WILLIAM CLARK, RPH is a Pharmacist healthcare provider located in MELBOURNE, Louisiana. NPI 1871653766 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MELBOURNE, LA

Registration Details

NPI Number
1871653766
Provider Type
Individual
Gender
Male
NPI Issued
Dec 11, 2006 (19.661119178388 yrs)
Last Updated
Jul 8, 2007
License
PS0025442 (FL)
Sole Proprietor
Yes

Practice Information

Address
7025 N WICKHAM RD
SUITE 113
MELBOURNE, LA, 32940
Browse LA providers · Browse ZIP 32940
Phone
3212533535
Primary Specialty
Pharmacist
183500000X
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.