Joseph Anthony Lark

NPI 1053616813 - Pharmacist - 183500000X

NPI Details
NPI 1053616813
Gender Male
Enumeration Date 01/25/2011
Last Updated 01/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1207 S HEATON ST
KNOX IN, 46534-2311, US
Phone (574) 772-4529
Fax (574) 772-7962
Business Location
1207 S HEATON ST
KNOX IN, 46534-2311, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Indiana
License Number 26017681A
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According to our database, Mr. Joseph Anthony Lark NPI is 1053616813, taxonomy code is 183500000X and license number is 26017681A, license state is located at Indiana. Joseph Anthony Lark physically located at 1207 S Heaton St, Knox IN, 46534-2311. NPI Number Joseph Anthony Lark has the Individual type.

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1053616813 NPI number is provided on an as is basis without warranty of any kind. 1053616813 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Anthony Lark are for informational purposes only.