Jenna Wade Clack, PHARM.D.

Pharmacist · Midland, TX

Individual Active NPI

NPI number 1831529015

Practice location

3510 N Midkiff Rd
100
Midland, TX 79705-4834
Phone
(432) 697-7500

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NPI record

NPI
1831529015
Entity type
Individual (Type 1)
Enumeration date
November 25, 2013
Last updated
November 25, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 53904 TX

About Dr. Clack

Jenna Wade Clack, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3510 N Midkiff Rd, 100, Midland, TX 79705-4834. The NPI number 1831529015 was assigned on November 25, 2013 and the record was last updated on November 25, 2013.

Dr. Clack lists a license in the registry: #53904 (TX) 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 Jenna Wade Clack, PHARM.D.?

The NPI number is 1831529015.

What is the phone number of Dr. Clack?

The phone number listed for the practice location is (432) 697-7500.

Where is Dr. Clack located?

3510 N Midkiff Rd, 100, Midland, TX 79705-4834.

What is the taxonomy code for Dr. Clack?

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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