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

Stacy R Clark, PHARMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063342541

Stacy R Clark, PHARMD is a Student in an Organized Health Care Education/Training Program in Salem, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone: (540) 982-2463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063342541
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address5908 Arden Dr, Clemmons, NC 27012-9407

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