National Provider Identifier

Peggy Clarke

Peggy Clarke is listed in the NPPES registry with a primary specialty of Pharmacist in North Tonawanda, NY and a listed phone number of (716) 694-3138.

NPI 1063637882North Tonawanda, NYPharmacist

Profile Overview

NPI
1063637882
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
April 16, 2007
Last Updated
July 08, 2007

Practice Location

  • 525 Division St
  • North Tonawanda, NY 14120-4403

Phone: (716) 694-3138

Mailing Address

  • 223 Havenwood Ln
  • Grand Island, NY 14072-1368

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1063637882
Entity Type
Individual
Last Name
Clarke
First Name
Peggy
Name Prefix
Mrs.
Mailing Street Address
223 Havenwood Ln
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1368
Mailing Country
US
Practice Street Address
525 Division St
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-4403
Practice Country
US
Practice Phone
(716) 694-3138
Enumeration Date
April 16, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)