Clark, Monica Darice
Clark, Monica Darice is an individual health care provider with primary practice located at 100 Monroe Street , Anoka MN 55303. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Monica Darice can be contacted via phone (763) 421-5540.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 117860 | Minnesota |
Profile Details
| NPI number | 1770588550 |
|---|---|
| LBN Legal business name | Clark, Monica Darice |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770588550 | NPPES |
| Minnesota | Other | 1171860 | MN BOARD OF PHARMACY |
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