NPI 1013247667

Clark Pharmacy Services, LLC

Organisation Health Maintenance Organization Monument, CO

Practice location

Address: 1150 Cambrook CT, Monument, CO 80132-8488
Phone: (719) 481-0021

Authorised official

Name: John Bruce Clark
Title: Member
Phone: (719) 481-0021

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 11322 (CO)

Other Health Maintenance Organization providers in Colorado →

Registry record

NPI: 1013247667
Entity type: Organization
NPI issued: 4 Jan 2010
Record last updated: 4 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.