Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael John Clark, RPH

Individual provider Pharmacist · NPI 1386920239

Mr. Michael John Clark, RPH is a Pharmacist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

1979 Lime Kiln Rd
Green Bay, WI 54311-6219
Phone: (920) 288-0638
Fax: (920) 288-0645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12691-040 (WI)

Record details

NPI number1386920239
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedOctober 24, 2011
Last updated in NPPESOctober 24, 2011

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