IndividualActive
Joe Clark, PHARMACIST
NPI 1619269602 · Pharmacist · Pass Christian, MS
Joe Clark, PHARMACIST is a Pharmacist provider in Pass Christian, MS (NPI 1619269602).
Provider details
- NPI number
- 1619269602
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMACIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- E05858 (MS)
Practice location
11470 Katie Dr
Pass Christian, MS 39571-5305
Phone: (228) 255-2886
Street-level locationGet directions
Mailing address
11470 Katie Dr
Pass Christian, MS 39571-5305
Registry dates
- Enumerated
- 2011-05-09
- Last updated
- 2011-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.