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

Michael R Clark Jr., PHARMD

Individual provider Pharmacist · NPI 1861711046

Michael R Clark Jr., PHARMD is a Pharmacist in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-4677
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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 RPH024877 (GA)
Pharmacist Taxonomy 183500000X · Licence RPH024877 (GA)

Record details

NPI number1861711046
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedMay 26, 2010
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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