Kristie Dawn Clark
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
10816 Black Dog Ln Ste 160, Charlotte
North Carolina, 28214-1479
704-316-3970 704-316-3971
Kristie Dawn Clark is a pharmacist who is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Charlotte, North Carolina. Patients can reach her at 10816 Black Dog Ln Ste 160, Charlotte or contact her on 704-316-3970. Active license number of Kristie Dawn Clark is 0070-00413 for Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Carolina.
Kristie Dawn Clark is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Complete Profile:
Kristie Dawn Clark speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Kristie Dawn Clark |
| Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Credentials: | PHARMD, CDE |
| Gender: | Female |
| Location: | 10816 Black Dog Ln Ste 160, Charlotte,
North Carolina, 28214-1479 |
| Phone: | 704-316-3970 |
| Fax: | 704-316-3971 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Kristie Dawn Clark are as mentioned below.
| NPI Number: | 1619222932 |
| NPI Enumeration Date: | 24 Jul, 2012 |
| NPI Last Update On: | 16 Jan, 2025 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristie Dawn Clark are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 0070-00413 | North Carolina | Primary | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 17299 | North Carolina | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 60447,
Charlotte, North Carolina |
| Zip: | 28260-0447 |
| Phone Number: | -- |
Patients can reach Kristie Dawn Clark at
10816 Black Dog Ln Ste 160, Charlotte, North Carolina or can
call on phone at 704-316-3970.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.