Clark, Venetia B

Clark, Venetia B is an individual health care provider with primary practice located at 9554 E Lincoln Hwy , Frankfort IL 60423-1892. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Venetia B can be contacted via phone (815) 806-0438.

Contact Information

Primary practice address
9554 E Lincoln Hwy Frankfort IL 60423-1892
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051038578 Illinois

Profile Details

NPI number 1972880169
LBN Legal business name Clark, Venetia B
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Nov 16th, 2011 - about 13 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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