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DR. CLINT M DWORSHAK PHARM.D.
NPI 1053520916
Pharmacist in Crystal, MN

Active since May 21, 2007
5534 LAKELAND AVE N, CRYSTAL, MN 55429(763) 259-0188(888) 636-9971 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clint M Dworshak Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLINT M DWORSHAK PHARM.D. (NPI 1053520916) is an individual pharmacist in Crystal, Minnesota, licensed in Minnesota (117076-4) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1053520916
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. CLINT M DWORSHAKCredential: PHARM.D.
Location Address5534 LAKELAND AVE NCrystal, MN 55429-3121
Mailing Address16908 Saddlewood TrlMinnetonka, MN 55345-2672 · (952) 935-9227
Phone(763) 259-0188
Fax(888) 636-9971
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateMarch 30, 2009
✔ NPI 1053520916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MN · 117076-4✔ Licensed in ND · 4803
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
5534 LAKELAND AVE N, Crystal, MN 55429
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Other Identifiers 2

Other117076-4MN · Mn Pharmacist License
Other4803ND · Nd Pharmacist License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clint Dworshak's NPI number?

The NPI number for Clint Dworshak is 1053520916. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Clint Dworshak located?

Clint Dworshak practices at 5534 Lakeland Ave N, Crystal, MN 55429. The listed phone number is (763) 259-0188.

What is Clint Dworshak's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Clint Dworshak was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.