Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel J Clark

Individual provider Pharmacist · NPI 1639454689

Daniel J Clark is a Pharmacist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011

Practice location Address checks out

1995 Main St
Green Bay, WI 54302-3920
Phone: (920) 465-6210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10716-40 (WI)

Record details

NPI number1639454689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 20, 2011
Mailing address1995 Main St, Green Bay, WI 54302-3920

Other providers in Green Bay