IndividualActive
Alvin Clark, DPH
NPI 1336264670 · Pharmacist · Madison, TN
Provider details
- NPI number
- 1336264670
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- DPH
- Sex
- Male
- Sole proprietor
- No
- License
- C-3772 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2232 Gallatin Pike N
Madison, TN 37115-2006
Phone: (615) 859-6216
Fax: (615) 859-6216
Approximate (ZIP-level) locationGet directions
Mailing address
410 Ellen Dr
Goodlettsville, TN 37072-3429
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.