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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLARK WIDMOYER

Active Sole Proprietor

MR. CLARK WIDMOYER is a Pharmacist healthcare provider located in ELKHART, Indiana. NPI 1811279862 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · ELKHART, IN

Registration Details

NPI Number
1811279862
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2011 (14.86847424437 yrs)
Last Updated
Sep 15, 2011
License
26015425A (IN)
Sole Proprietor
Yes

Practice Information

Address
102 E HIVELY AVE
ELKHART, IN, 465172194
Browse IN providers · Browse ZIP 46517
Phone
5745222197
Fax
5745229352
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in ELKHART, IN

Name Credential NPI
MR. JEFFREY LEE HUFF RPH 1265737381
DR. SARA WALTERS PHARMD 1336447473
PATRICIA CANRIGHT 1285916163
DR. NEIL SUSHIL JAIN PHARMD 1972885796
BRIAN NAUMAN 1063795615
MRS. MARY ELEANOR SWIHART RPH 1124301478
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.