SearchRhode Island207RA0401X

Seth Clark

NPI 1801208798 · on the registry since 2014 · sole proprietor

Practice

Address
200 Corliss St
Providence, RI 02904
Phone
(401) 606-8530
Fax
(401) 606-8549
Organisation at this address
Vna Technicare, Inc.
Lifespan Pharmacy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 593 Eddy St, Providence, RI
  • 200 Corliss St, Providence, RI
  • 1052 Park Ave, Cranston, RI

Registry record

Primary taxonomy
207RA0401X
207RA0401X
Also registered as
207R00000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-24

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 Rhode Island