Keaton Tyler Clark

Pharmacist · Toccoa, GA

Individual Active NPI

NPI number 1255935417

Practice location

959 Big a Rd
Toccoa, GA 30577-6026
Phone
(706) 886-6876

Open in Google Maps

NPI record

NPI
1255935417
Entity type
Individual (Type 1)
Enumeration date
November 27, 2020
Last updated
August 3, 2023
Certified
August 3, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH034437 GA

Mailing address

12 Oak Cliff Dr
Toccoa, GA 30577-8310
Phone
(706) 599-4103

About Keaton Clark

Keaton Tyler Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 959 Big a Rd, Toccoa, GA 30577-6026. The NPI number 1255935417 was assigned on November 27, 2020 and the record was last updated on August 3, 2023.

Keaton Clark lists a license in the registry: #RPH034437 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keaton Tyler Clark?

The NPI number is 1255935417.

What is the phone number of Keaton Clark?

The phone number listed for the practice location is (706) 886-6876.

Where is Keaton Clark located?

959 Big a Rd, Toccoa, GA 30577-6026.

What is the taxonomy code for Keaton Clark?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Toccoa

All Pharmacist providers in Toccoa, GA →