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DR. MICHAEL RYAN CLARK PHARMD
NPI 1740780006
Pharmacist in Statesboro, GA

Active since February 13, 2018
556 NORTHSIDE DRIVE, STATESBORO, GA 30458(912) 489-8683 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Ryan Clark Pharmd NPPES

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

DR. MICHAEL RYAN CLARK PHARMD (NPI 1740780006) is an individual pharmacist in Statesboro, Georgia, licensed in Georgia (RPH030243) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1740780006
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MICHAEL RYAN CLARKCredential: PHARMD
Location Address556 NORTHSIDE DRIVEStatesboro, GA 30458
Mailing Address7632 La Roche AveSavannah, GA 31406-6404 · (912) 856-1159
Phone(912) 489-8683
Sole ProprietorNo
Enumeration DateFebruary 13, 2018
✔ NPI 1740780006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH030243
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.
556 NORTHSIDE DRIVE, Statesboro, GA 30458
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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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1740780006. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Michael Clark located?

Michael Clark practices at 556 Northside Drive, Statesboro, GA 30458. The listed phone number is (912) 489-8683.

What is Michael Clark'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 Michael Clark was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.