Matilda Anne Clark in Portsmouth - Pharmacist
Matilda Anne Clark - NPI 1497735583
Matilda Anne Clark is a Pharmacist in Portsmouth, Virginia. Matilda Anne Clark practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Matilda Anne Clark is 1497735583. The last update date is 2007-07-08.
Matilda Anne Clark's current location address is 620 John Paul Jones Cr, Portsmouth, Virginia. You can contact this provider via phone number 7579530284. The mailing address for Matilda Anne Clark is 620 John Paul Jones Cr, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matilda Anne Clark |
|---|---|
| Address | 620 John Paul Jones Cr, Portsmouth, Virginia |
| Phone Number | 7579530284 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | RPH. |
NPI Number Detail
| NPI Number | 1497735583 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 620 John Paul Jones Cr |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237082197 |
| Phone Number | 7579530284 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 202005078 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique identifier code issued to Matilda Anne Clark by the Centers for Medicare & Medicaid Services?
The Matilda Anne Clark has been assigned the NPI (National Provider Identifier) 1497735583. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Matilda Anne Clark?
The Matilda Anne Clark is physically situated at 620 John Paul Jones Cr, in the city of Portsmouth, state of VA, with the postal code 237082197.
What is Matilda Anne Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matilda Anne Clark's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497735583 to Matilda Anne Clark?
The Centers for Medicare & Medicaid Services assigned the 1497735583 to Matilda Anne Clark on 2006-01-17.
As of what date was the information pertaining to Matilda Anne Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Matilda Anne Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.