P Praxis·MD
● Active Type 1 · Individual

Charles John Clark, R.PH.

Pharmacist·Salmon, ID· NPI 1689826984 · Enumerated 2008 · 17 years on NPI
Clark is 1 of 11 pharmacist providers in Salmon and 1 of 1739 in Idaho.
NPI age
17 years
Enumerated 2008-10-17
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1739 active pharmacist providers in Idaho.

NPI age
17 years
↑ 7 yr above median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-10Enumerated in NPPES
2008 2026

Where they practice

Practice location
203 So. Daisy
Salmon, ID 83467
📞 2087565672fax 2087565757
Mailing address
Box 700, Steele Memorial Medical Center 203 So. Daisy
Salmon, ID 83467
📞 2087565672fax 2087565757

Specialties

  • Pharmacist Primary
    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,...
    ID license #P-4334 taxonomy 183500000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new pharmacist provider has been added in Salmon in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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