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

Mr. Michael John Clark, RPH

Individual provider Pharmacist · NPI 1386920239

Mr. Michael John Clark, RPH is a Pharmacist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

1979 Lime Kiln Rd
Green Bay, WI 54311-6219
Phone: (920) 288-0638
Fax: (920) 288-0645
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12691-040 (WI)

Record details

NPI number1386920239
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedOctober 24, 2011
Last updated in NPPESOctober 24, 2011
Mailing address1979 Lime Kiln Rd, Green Bay, WI 54311-6219

Other providers in Green Bay