Samantha Clark

NPI #1225636442 in Rumford, Rhode Island

Provider Information

NPI Number: 1225636442
Entity Type: Individual
Name: Samantha Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 9, 2020
Last Updated: May 21, 2021

Practice Location

Address: 63 NEWPORT AVE
City: Rumford
State: Rhode Island
ZIP Code: 02916-2020
Phone: (401) 431-0461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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