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

Stacy Clark, RPH

Individual provider Pharmacist · NPI 1689950479

Stacy Clark, RPH is a Pharmacist in South Bend, Indiana. Licensed in Indiana and Michigan. Registered with an NPI since 2011.

Licensed in
IN, MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

52482 State Road 933
South Bend, IN 46637-3852
Phone: (574) 271-0357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302026870 (MI)
Pharmacist Taxonomy 183500000X · Licence 26016810 (IN)

Record details

NPI number1689950479
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedOctober 25, 2011
Last updated in NPPESOctober 25, 2011
Mailing address52482 State Road 933, South Bend, IN 46637-3852

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