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NPI Code Detail

MEDICARE: DECARNA CLARKE PHARMD

MEDICARE: DECARNA CLARKE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18441NC

General Provider Information

NPI Number : 1023877040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DECARNA CLARKE PHARMD
Provider Business Mailing Address
First Line : 2231 RAVEN RD UNIT 104
Second Line :
City : RALEIGH
State : NC
Zip : 27614-6773
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11801 VOGEL ST
Second Line :
City : RALEIGH
State : NC
Zip : 27617-6510
Country : US
Telephone Number : 919-544-1387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 03/14/2024

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Directions to “ DECARNA CLARKE PHARMD” Practice Location

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