Clark Widmoyer

Pharmacist · Elkhart, IN

Individual Active NPI

NPI number 1811279862

Practice location

102 E Hively Ave
Elkhart, IN 46517-2194
Phone
(574) 522-2197
Fax
(574) 522-9352

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NPI record

NPI
1811279862
Entity type
Individual (Type 1)
Enumeration date
September 15, 2011
Last updated
September 15, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 26015425A IN

About Clark Widmoyer

Clark Widmoyer is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 102 E Hively Ave, Elkhart, IN 46517-2194. The NPI number 1811279862 was assigned on September 15, 2011 and the record was last updated on September 15, 2011.

Clark Widmoyer lists a license in the registry: #26015425A (IN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clark Widmoyer?

The NPI number is 1811279862.

What is the phone number of Clark Widmoyer?

The phone number listed for the practice location is (574) 522-2197.

Where is Clark Widmoyer located?

102 E Hively Ave, Elkhart, IN 46517-2194.

What is the taxonomy code for Clark Widmoyer?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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