Clark, Heather Lee Louise
Clark, Heather Lee Louise is an individual health care provider with primary practice located at 3000 Old Highway 58 Lot 18 , Georgetown TN 37336-6264. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Clark, Heather Lee Louise can be contacted via phone (423) 827-8625.Contact Information
Primary practice address
3000 Old Highway 58 Lot 18
Georgetown TN 37336-6264
Phone: (423) 827-8625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | ||
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 40866 | Tennessee |
Profile Details
| NPI number | 1518547975 |
|---|---|
| LBN Legal business name | Clark, Heather Lee Louise |
| Credentials | CPHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2021 |
| Last updated | Apr 10th, 2021 - about 5 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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