NPI 1023665288

Jeffrey Clark, PHARMD

Practitioner Pharmacist Springville, UT

Practice location

Address: 1117 W 400 S, Springville, UT 84663-3061
Phone: (385) 685-7005
Mailing address: 446 Spanish Fields Dr, Spanish Fork, UT 84660-4519

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5910037 (UT)

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Registry record

NPI: 1023665288
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2019
Record last updated: 22 Aug 2019

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.