NPI 1003071150

Kelly Rae Clark, PHARMD

Practitioner Psychiatric Pharmacist Bronx, NY

Practice location

Address: 130 W Kingsbridge Rd, Bronx, NY 10468-3904
Phone: (718) 584-9000

Registered specialties

Psychiatric Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835P1300X Licence 41224 (TX)

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Registry record

NPI: 1003071150
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2008
Record last updated: 28 Jul 2008

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.