Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Clark Widmoyer

Individual provider Pharmacist · NPI 1811279862

Mr. Clark Widmoyer is a Pharmacist in Elkhart, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
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Practice location Address checks out

102 E Hively Ave
Elkhart, IN 46517-2194
Phone: (574) 522-2197
Fax: (574) 522-9352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26015425A (IN)

Record details

NPI number1811279862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2011
Last updated in NPPESSeptember 15, 2011
Mailing address102 E Hively Ave, Elkhart, IN 46517-2194

Other providers in Elkhart