Krystle Clark, in Eagle, ID - Pharmacist

Krystle Clark, is a Pharmacist based in Eagle, Idaho. Krystle Clark is licensed to practice in Idaho (license number P6315) and her current practice location is 3212 E Chinden Blvd, Eagle, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 319-0538.

NPI number for Krystle Clark is 1083994586 and her current mailing address is 3212 E Chinden Blvd, Eagle, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083994586.

Contact Information

	Krystle Clark,
	3212 E Chinden Blvd, Eagle, ID 83616-6473
	(208) 319-0538
	Not Available

Healthcare Provider's Profile

Full Name	Krystle Clark
Gender	Female
Speciality	Pharmacist
Location	3212 E Chinden Blvd, Eagle, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1083994586
Provider Enumeration Date: 08/28/2011
Last Update Date: 08/28/2011

Medical Identifiers

Medical identifiers for Krystle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083994586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	P6315 (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. Krystle 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 Address	Practice Location Address
Krystle Clark, 3212 E Chinden Blvd, Eagle, ID 83616-6473 Ph: (208) 319-0538	Krystle Clark, 3212 E Chinden Blvd, Eagle, ID 83616-6473 Ph: (208) 319-0538

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Pharmacist in Eagle, ID

Shannon Kay Halpin, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2081 W Preston St, Eagle, ID 83616 Phone: 208-724-1000
Alex Wald, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 149 W State St Ste 101, Eagle, ID 83616 Phone: 208-939-8008
Dr. Alex Servatius, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 217 N Storybook Way, Eagle, ID 83616 Phone: 208-724-4244
Dr. Paul Charles Villaret, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1855 N Groveland Pl, Eagle, ID 83616 Phone: 702-335-2626
Mrs. Alyssa Renae Zibrowski, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 149 W State St Ste 101, Eagle, ID 83616 Phone: 208-939-8008
John Christopher Boyd, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7135 W Planterra Ln, Eagle, ID 83616 Phone: 208-871-1619

Krystle Clark, - Pharmacist in Eagle, ID