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

Mr. Clark Anthony Botha, BPHARM, RPH

Individual provider Pharmacist · NPI 1639385404

Mr. Clark Anthony Botha, BPHARM, RPH is a Pharmacist in Beaumont, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

81 Highland Springs Ave Ste 90
Beaumont, CA 92223-3170
Phone: (951) 849-3378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 58078 (CA)

Record details

NPI number1639385404
Entity typeIndividual (Type 1)
GenderMale
Credentials BPHARM , RPH
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing address25590 Prospect Ave, Apt 26d, Loma Linda, CA 92354-3141

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