Jacee Clark, PHARMD

NPI 1043937741 · on the registry since 2022

Practice

Address: 3160 E 17th St Ste 164
Ammon, ID 83406
Phone: (208) 529-1795
Organisation at this address: Optical Illusions Inc
Teton Pharmacy In Ammon
Broulim Supermarkets, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Additional practice sites

124 W Main St, Rexburg, ID

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho