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

Mr. Tony Dale Clark

Individual provider Pharmacist · NPI 1821685157

Mr. Tony Dale Clark is a Pharmacist in Lenexa, Kansas. Licensed in Kansas. Registered with an NPI since 2020.

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

12200 W 95th St
Lenexa, KS 66215-3806
Phone: (913) 894-2093
Fax: (913) 894-8167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 1-15358 (KS)

Record details

NPI number1821685157
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2020
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

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