Katherine T. Clark, PHARMD

Pharmacist · Mishawaka, IN

Individual Active NPI

NPI number 1770146243

Practice location

60101 Bodnar Blvd Ste 100
Mishawaka, IN 46544-9328
Phone
(574) 335-8500

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NPI record

NPI
1770146243
Entity type
Individual (Type 1)
Enumeration date
April 19, 2019
Last updated
May 21, 2021
Certified
May 21, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 26027104A IN

Mailing address

611 E Douglas Rd Ste 406
Mishawaka, IN 46545-1468
Phone
(574) 335-7074

About Dr. Clark

Katherine T. Clark, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328. The NPI number 1770146243 was assigned on April 19, 2019 and the record was last updated on May 21, 2021.

Dr. Clark lists a license in the registry: #26027104A (IN) 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 Katherine T. Clark, PHARMD?

The NPI number is 1770146243.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (574) 335-8500.

Where is Dr. Clark located?

60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328.

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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