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

Mark Clark

Individual provider Pharmacist · NPI 1225642051

Mark Clark is a Pharmacist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2020
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Practice location Address checks out

5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 685-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PHA0020892 (CO)

Record details

NPI number1225642051
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address1805 Tierra Berienda, Pueblo, CO 81008-2619

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