NPI 1639422967 · live from the CMS NPI Registry
Mark Clafshenkel, Rph
Pharmacist in Wasilla, AK. National Provider Identifier 1639422967, active.
NPI record
| NPI | 1639422967 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 1350 S Seward Meridian Pkwy, Wasilla, AK 99654 |
| Practice phone | 907-376-9783 |
| Mailing address | Po Box 871070, Wasilla, AK 99687 |
| Enumerated | October 24, 2012 |
| Last updated | October 24, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 1901 (AK) |
| Pharmacist | 183500000X | rp035890L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.