IndividualActive
Kelly Clark, PHARM.D.
NPI 1003071150 · Psychiatric Pharmacist · Bronx, NY
Provider details
- NPI number
- 1003071150
- Entity type
- Individual
- Primary specialty
- Psychiatric PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 41224 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone: (718) 584-9000
Approximate (ZIP-level) locationGet directions
Mailing address
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Registry dates
- Enumerated
- 2008-07-28
- Last updated
- 2008-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.