Michael Ryan Clark, PHARMD

Pharmacist · Statesboro, GA

Individual Active NPI

NPI number 1740780006

Practice location

556 Northside Drive
Statesboro, GA 30458
Phone
(912) 489-8683

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NPI record

NPI
1740780006
Entity type
Individual (Type 1)
Enumeration date
February 13, 2018
Last updated
February 13, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH030243 GA

Mailing address

7632 La Roche Ave
Savannah, GA 31406-6404
Phone
(912) 856-1159

About Dr. Clark

Michael Ryan Clark, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 556 Northside Drive, Statesboro, GA 30458. The NPI number 1740780006 was assigned on February 13, 2018 and the record was last updated on February 13, 2018.

Dr. Clark lists a license in the registry: #RPH030243 (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 Michael Ryan Clark, PHARMD?

The NPI number is 1740780006.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (912) 489-8683.

Where is Dr. Clark located?

556 Northside Drive, Statesboro, GA 30458.

What is the taxonomy code for Dr. 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.

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