MEDICARE: DR. WILLISA P 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
1	183500000X	Pharmacist	PS49842	FL

General Provider Information

NPI Number	:	1487991345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLISA P CLARKE PHARMD

Provider Business Mailing Address
First Line	:	3700 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6610
Country	:	US
Telephone Number	:	954-788-3094
Fax Number	:	954-788-3097

Provider Business Practice Location Address
First Line	:	3700 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6610
Country	:	US
Telephone Number	:	954-788-3094
Fax Number	:	954-788-3097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2013
Last Update Date	:	09/18/2018

Similar Medicare Providers

1871532648 — PUBLIX SUPER MARKETS INC
Practice Location Address:

3700 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6610

Practice Phone: 954-788-3094
Practice Fax: 954-788-3097

1639416613 — MR. MARK SACINO
Practice Location Address:

3700 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6610

Practice Phone: 954-788-3094
Practice Fax: 954-788-3097

1306314174 — DR. SAL DAVID MILITELLO PHARMD
Practice Location Address:

3700 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-6610

Practice Phone: 954-788-3094
Practice Fax:

1447602263 — KRISTIN MEYERDIRK COTA/L
Practice Location Address:

6610 CROWN POINT DR
HUDSONVILLE, MI
49426-9014

Practice Phone: 616-425-1858
Practice Fax:

1831531581 — FLORIDA EM-I MEDICAL SERVICES PA
Practice Location Address:

5360 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-7068

Practice Phone: 954-939-5000
Practice Fax: 877-250-6889

1841140571 — PHOENIX EMERGENCY MEDICINE OF BROWARD LLC
Practice Location Address:

5360 N FEDERAL HWY
LIGHTHOUSE POINT, FL
33064-7068

Practice Phone: 954-939-5000
Practice Fax: 877-250-6889

Directions to “ DR. WILLISA P CLARKE PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.