National Provider Identifier
Collin Matthew Clark, PHARMD
Collin Matthew Clark, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Buffalo, NY and a listed phone number of (716) 834-9200.
Profile Overview
- NPI
- 1588180053
- Provider Type
- Individual
- Primary Specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Enumeration Date
- August 16, 2017
- Last Updated
- March 17, 2018
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 834-9200
Mailing Address
- 1153 Hertel Ave Uppr
- Buffalo, NY 14216-2703
Specialties
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X)
Full Record
- NPI
- 1588180053
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Collin
- Middle Name
- Matthew
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 1153 Hertel Ave Uppr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-2703
- Mailing Country
- US
- Mailing Phone
- (716) 790-1100
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 834-9200
- Enumeration Date
- August 16, 2017
- Last Updated
- March 17, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X)