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CLARK PHARMACY INC

Medical Equipment Supplier Yellow Pages

Cimarron, Kansas

Provider NPI: 1720145105

Organization Information:
Organization Name:  CLARK PHARMACY INC


Practice Location:
101 S MAIN ST  CIMARRON, KS 67835 US
Tel: 620-855-2242  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336L0003XSuppliers
Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
KS209276

Other Provider Identifiers:

IssuerNumberStateType
PK203073401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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