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

Joe Boaz Clark IV

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1669139309

Joe Boaz Clark IV is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sun Prairie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

640 E Main St
Sun Prairie, WI 53590-9696
Phone: (608) 837-3821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 17466-40 (WI)

Record details

NPI number1669139309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 17, 2021
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

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