Search › Idaho › 183500000X
Charles Clark, R.PH
NPI 1689826984 · on the registry since 2008
Practice
- Address
- 203 So. Daisy
Salmon, ID 83467 - Phone
- (208) 756-5672
- Fax
- (208) 756-5757
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-17
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