Mr Clark Anthony Botha, BPHARM, RPH - Pharmacist in Beaumont, CA

Mr Clark Anthony Botha, BPHARM, RPH is a Pharmacist based in Beaumont, California. Mr Clark Anthony Botha is licensed to practice in California (license number 58078) and his current practice location is 81 Highland Springs Ave Ste 90, Beaumont, California. He can be reached at his office (for appointments etc.) via phone at (951) 849-3378.

NPI number for Mr Clark Anthony Botha is 1639385404 and his current mailing address is 25590 Prospect Ave, Apt 26d, Loma Linda, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639385404.

Contact Information

Mr Clark Anthony Botha, BPHARM, RPH
81 Highland Springs Ave Ste 90,
Beaumont, CA 92223-3170
(951) 849-3378
Not Available

Healthcare Provider's Profile

Full NameMr Clark Anthony Botha
GenderMale
SpecialityPharmacist
Location81 Highland Springs Ave Ste 90, Beaumont, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639385404
  • Provider Enumeration Date: 05/16/2007
  • Last Update Date: 12/27/2019

Medical Identifiers

Medical identifiers for Mr Clark Anthony Botha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639385404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 58078 (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. Mr Clark Anthony Botha 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
Mr Clark Anthony Botha, BPHARM, RPH
25590 Prospect Ave, Apt 26d,
Loma Linda, CA 92354-3141

Ph: (909) 801-4312
Mr Clark Anthony Botha, BPHARM, RPH
81 Highland Springs Ave Ste 90,
Beaumont, CA 92223-3170

Ph: (951) 849-3378

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Pharmacist in Beaumont, CA

Mr. Chung Koang Chhen, PHARM.D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 894 Oak Valley Pkwy, Beaumont, CA 92223
Phone: 951-769-7370    Fax: 951-769-0123
Imadeddin Karaze, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 835 N Highland Springs Ave #110, Beaumont, CA 92223
Phone: 708-942-9896    
Mr. John H. Gallegos, R.PH.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 174 Canary Creek, Beaumont, CA 92223
Phone: 951-849-9017    
Vivian Tran,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1540 E 2nd St, Beaumont, CA 92223
Phone: 951-845-7994    Fax: 951-769-9321
Nagaraju Gajawada,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 895 Oak Valley Parkway, Beaumont, CA 92223
Phone: 951-769-7370    Fax: 951-769-0123
Jeeyoon Kim,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Beaumont Ave, Beaumont, CA 92223
Phone: 951-769-4295    
Robert Le,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Beaumont Ave, Beaumont, CA 92223
Phone: 951-769-4295    

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