MEDICARE: HEATHER W CLARK PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	NH3209	NH

General Provider Information

NPI Number	:	1548110158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER W CLARK PHARMD

Provider Business Mailing Address
First Line	:	9 HAWTHORNE RD
Second Line	:
City	:	MERRIMACK
State	:	NH
Zip	:	03054-6807
Country	:	US
Telephone Number	:	603-661-3936
Fax Number	:	603-661-3936

Provider Business Practice Location Address
First Line	:	1 ELLIOT WAY
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03103-3502
Country	:	US
Telephone Number	:	603-663-1898
Fax Number	:	603-663-1898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ HEATHER W CLARK PHARMD” Practice Location

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