Clark Anthony Botha, BPHARM, RPH

Pharmacist · Beaumont, CA

Individual Active NPI

NPI number 1639385404

Practice location

81 Highland Springs Ave Ste 90
Beaumont, CA 92223-3170
Phone
(951) 849-3378

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NPI record

NPI
1639385404
Entity type
Individual (Type 1)
Enumeration date
May 16, 2007
Last updated
December 27, 2019
Certified
December 27, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 58078 CA

Mailing address

25590 Prospect Ave
Apt 26d
Loma Linda, CA 92354-3141
Phone
(909) 801-4312

About Clark Botha

Clark Anthony Botha, BPHARM, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 81 Highland Springs Ave Ste 90, Beaumont, CA 92223-3170. The NPI number 1639385404 was assigned on May 16, 2007 and the record was last updated on December 27, 2019.

Clark Botha lists a license in the registry: #58078 (CA) 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 Clark Anthony Botha, BPHARM, RPH?

The NPI number is 1639385404.

What is the phone number of Clark Botha?

The phone number listed for the practice location is (951) 849-3378.

Where is Clark Botha located?

81 Highland Springs Ave Ste 90, Beaumont, CA 92223-3170.

What is the taxonomy code for Clark Botha?

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.

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