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Search › Idaho › 183700000X

Mary Clark, CPHT

NPI 1639840911 · on the registry since 2021

Practice

Address
1105 Michigan Ave
Orofino, ID 83544
Phone
(208) 476-3600
Organisation at this address
Glenwood Pharmacy, Inc
Arnzen Super Drug, Inc
Clearwater Valley Hospital & Clinics Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho