National Provider Identifier
William Ray Clark Jr., PHARM D
William Ray Clark Jr., PHARM D is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 272-8333.
Profile Overview
- NPI
- 1689908246
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- September 29, 2009
- Last Updated
- January 22, 2025
Practice Location
- 513 N Cayuga St
- Ithaca, NY 14850-3663
Phone: (607) 272-8333
Specialties
- Pharmacist (183500000X)
- Pharmacist (183500000X)
Full Record
- NPI
- 1689908246
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- William
- Middle Name
- Ray
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- PHARM D
- Mailing Street Address
- 513 N Cayuga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3663
- Mailing Country
- US
- Mailing Phone
- (607) 272-8333
- Mailing Fax
- (607) 272-8366
- Practice Street Address
- 513 N Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3663
- Practice Country
- US
- Practice Phone
- (607) 272-8333
- Practice Fax
- (607) 272-8366
- Enumeration Date
- September 29, 2009
- Last Updated
- January 22, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X), Pharmacist (183500000X)