Jacee Clark, PHARMD - Pharmacist in Ammon, ID

Jacee Clark, PHARMD is a Pharmacist based in Ammon, Idaho. Jacee Clark is licensed to practice in Idaho (license number P10067) and her current practice location is 3160 E 17th St Ste 164, Ammon, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 529-1795.

NPI number for Jacee Clark is 1043937741 and her current mailing address is 10668 N 36th E, Idaho Falls, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043937741.

Contact Information

Jacee Clark, PHARMD
3160 E 17th St Ste 164,
Ammon, ID 83406-6784
(208) 529-1795
Not Available

Healthcare Provider's Profile

Full NameJacee Clark
GenderFemale
SpecialityPharmacist
Location3160 E 17th St Ste 164, Ammon, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043937741
  • Provider Enumeration Date: 10/24/2022
  • Last Update Date: 10/24/2022

Medical Identifiers

Medical identifiers for Jacee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043937741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist P10067 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacee Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacee Clark, PHARMD
10668 N 36th E,
Idaho Falls, ID 83401-6575

Ph: () -
Jacee Clark, PHARMD
3160 E 17th St Ste 164,
Ammon, ID 83406-6784

Ph: (208) 529-1795

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› Verified 3 days ago


Pharmacist in Ammon, ID

William Pirate Madsen, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3475 E 17th St, Ammon, ID 83406
Phone: 208-227-5083    Fax: 208-227-5087
Bruce Webb, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3250 E 17th St, Ammon, ID 83406
Phone: 208-552-7677    Fax: 208-552-2098
Lance Denning, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2730 E Sunnyside Rd, Ammon, ID 83406
Phone: 208-522-3257    
Spencer Louis Dietz, PHARMD, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3250 E 17th St, Ammon, ID 83406
Phone: 208-552-7677    
Dorothy Elaine Roberts, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3101 E 17th St, Ammon, ID 83406
Phone: 208-522-4824    Fax: 208-523-6830
Tarmigan Cushing,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 S 25th E, Ammon, ID 83406
Phone: 208-522-2866    

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