Inie C Clement
Individual provider Active NPI Pharmacist · Sells, AZ
NPI 1649425802 · NPPES record last updated Dec 1, 2008
Key facts
- NPI
- 1649425802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16963 (IA)
- Practice address
- 1 Mesquite Dr
Sells, AZ 85634 - Phone
- (520) 383-7450
- Fax
- (520) 373-7450
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16963 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16963 | IA | Yes |
Addresses
Primary practice location
1 Mesquite Dr
Sells, AZ 85634
Mailing address
7404 Bryn Mawr Dr
Urbandale, IA 50322-4149
Phone (515) 252-1776
Other providers in Sells, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.