Clark, Matilda Anne

Clark, Matilda Anne is an individual health care provider with primary practice located at 620 John Paul Jones Cr , Portsmouth VA 23708-2197. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Matilda Anne can be contacted via phone (757) 953-0284.

Contact Information

Primary practice address
620 John Paul Jones Cr Portsmouth VA 23708-2197
Phone: (757) 953-0284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202005078 Virginia
Pharmacy Service Providers / Pharmacist 183500000X 08296 North Carolina
Pharmacy Service Providers / Pharmacist 183500000X RPH015157 Georgia

Profile Details

NPI number 1497735583
LBN Legal business name Clark, Matilda Anne
Credentials RPH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 13th, 2026 - about 4 months 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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