IndividualActive
Charlotte Clark, PHARMD
NPI 1699374306 · Pharmacist · Macomb, IL
Provider details
- NPI number
- 1699374306
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 051.287844 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1600 E Jackson St
Macomb, IL 61455-2530
Phone: (309) 833-3750
Fax: (309) 836-8407
Approximate (ZIP-level) locationGet directions
Mailing address
210 W Jefferson St
Macomb, IL 61455-2131
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.