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Mr. Clark Widmoyer
Pharmacist in Elkhart, Indiana
NPI 1811279862

Clark Widmoyer is a Pharmacist based in Elkhart, IN. Clark Widmoyer practices in Elkhart, IN. The NPI Number for Clark Widmoyer is 1811279862 and holds a License No. 26015425A (Indiana).

The current practice location address for Clark Widmoyer is 102 E Hively Ave, Elkhart, IN and can be reached out via phone at 574-522-2197 and via fax at 574-522-9352.

Location: 102 E Hively Ave, Elkhart, IN, 46517-2194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811279862
Provider Name
Clark Widmoyer
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 E Hively Ave, Elkhart, IN, 46517-2194
Phone Number
574-522-2197
Fax Number
574-522-9352
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 E Hively Ave
City
Elkhart
State
Indiana
Zip
46517-2194
Phone Number
574-522-2197
Fax Number
574-522-9352
person
Provider Business Mailing Address Details
Address
102 E Hively Ave
City
Elkhart
State
Indiana
Zip
46517-2194
Phone Number
574-522-2197
Fax Number
574-522-9352
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26015425A (Indiana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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