Michael Raymond Clark, in Twain Harte, CA - Pharmacist

Michael Raymond Clark, is a Pharmacist based in Twain Harte, California. Michael Raymond Clark is licensed to practice in California (license number 37360) and his current practice location is 22629 Twain Harte Dr Ste D, Twain Harte, California. He can be reached at his office (for appointments etc.) via phone at (209) 586-3225.

NPI number for Michael Raymond Clark is 1972006005 and his current mailing address is 22118 N Tuolumne Rd, Twain Harte, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972006005.

Contact Information

	Michael Raymond Clark,
	22629 Twain Harte Dr Ste D, Twain Harte, CA 95383-9405
	(209) 586-3225
	Not Available

Healthcare Provider's Profile

Full Name	Michael Raymond Clark
Gender	Male
Speciality	Pharmacist
Location	22629 Twain Harte Dr Ste D, Twain Harte, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1972006005
Provider Enumeration Date: 03/15/2018
Last Update Date: 02/28/2024

Medical Identifiers

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

Identifier	Type	State	Issuer
1972006005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	37360 (California)	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. Michael Raymond 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
Michael Raymond Clark, 22118 N Tuolumne Rd, Twain Harte, CA 95383-9605 Ph: (209) 352-1411	Michael Raymond Clark, 22629 Twain Harte Dr Ste D, Twain Harte, CA 95383-9405 Ph: (209) 586-3225

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Michael Raymond Clark, - Pharmacist in Twain Harte, CA