Clark, Erikka

Clark, Erikka is an individual health care provider with primary practice located at 502 Railroad St , St Johnsbury VT 05819-1633. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Erikka can be contacted via phone (802) 748-5210.

Contact Information

Primary practice address
502 Railroad St St Johnsbury VT 05819-1633
Phone: (802) 748-5210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 033.0104359 Vermont

Profile Details

NPI number 1174931513
LBN Legal business name Clark, Erikka
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2014
Last updated Jul 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174931513 NPPES
Vermont Other 033.0104359 PHARMACIST LICENSE

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