Clark, Krystle
Clark, Krystle is an individual health care provider with primary practice located at 3212 E Chinden Blvd , Eagle ID 83616-6473. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Krystle can be contacted via phone (208) 319-0538.Contact Information
Primary practice address
3212 E Chinden Blvd
Eagle ID 83616-6473
Phone: (208) 319-0538
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P6315 | Idaho |
Profile Details
| NPI number | 1083994586 |
|---|---|
| LBN Legal business name | Clark, Krystle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2011 |
| Last updated | Aug 28th, 2011 - about 14 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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