NPI 1174931513

Erikka Clark

Practitioner Pharmacist St Johnsbury, VT

Practice location

Address: 502 Railroad St, St Johnsbury, VT 05819-1633
Phone: (802) 748-5210
Mailing address: 4002 Duck Pond Rd, Waterford, VT 05819-9304

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0104359 (VT)

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Registry record

NPI: 1174931513
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2014
Record last updated: 29 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.