NPI 1790175461

Danielle Clark

Practitioner Pharmacy Technician Windsor, CT

Practice location

Address: 1075 Kennedy Rd, Windsor, CT 06095-1308
Phone: (860) 907-3069
Fax: (860) 907-3373

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PTN.0016668 (CT)

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Registry record

NPI: 1790175461
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2015
Record last updated: 2 Feb 2015

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.