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

Mr. Kenneth R Clark

Individual provider Pharmacist · NPI 1821119959

Mr. Kenneth R Clark is a Pharmacist in Pascagoula, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
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Practice location Address checks out

4211 Hospital St Ste 104
Pascagoula, MS 39581-5310
Phone: (228) 762-1940
Fax: (228) 762-7786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence E-06773 (MS)

Record details

NPI number1821119959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESNovember 15, 2017
Mailing address2415 Beach Blvd, Pascagoula, MS 39567-1422

Other providers in Pascagoula