CLARK WIDMOYER

ELKHART, IN
NPI1811279862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26015425A)
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
Mr. CLARK WIDMOYER
102 E HIVELY AVE
ELKHART, IN 46517-2194
Phone number: 574-522-2197
Mailing Address
Mr. CLARK WIDMOYER
102 E HIVELY AVE
ELKHART, IN 46517-2194
Phone number: 574-522-2197
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