National Provider Identifier

Caroline Elizabeth Clark, RPH

Caroline Elizabeth Clark, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Wayland, NY and a listed phone number of (585) 728-2250.

NPI 1538482922Wayland, NYPharmacist

Profile Overview

NPI
1538482922
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
March 12, 2010
Last Updated
May 31, 2023

Practice Location

  • 107 N Main St
  • Wayland, NY 14572-1033

Phone: (585) 728-2250

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1538482922
Entity Type
Individual
Last Name
Clark
First Name
Caroline
Middle Name
Elizabeth
Credential
RPH
Provider Other Last Name
Hanggi
Provider Other First Name
Caroline
Provider Other Middle Name
Elizabeth
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
RPH
Provider Other Last Name Type Code
1
Mailing Street Address
107 N Main St
Mailing City
Wayland
Mailing State
NY
Mailing ZIP Code
14572-1033
Mailing Country
US
Mailing Phone
(585) 728-2250
Mailing Fax
(585) 728-2198
Practice Street Address
107 N Main St
Practice City
Wayland
Practice State
NY
Practice ZIP Code
14572-1033
Practice Country
US
Practice Phone
(585) 728-2250
Practice Fax
(585) 728-2198
Enumeration Date
March 12, 2010
Last Updated
May 31, 2023
Sex
Female
Sole Proprietor
No
Certification Date
May 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)