DR. Walter Mathis, PHARMD

NPI #1003190315 in Ontario, Oregon

Provider Information

NPI Number: 1003190315
Entity Type: Individual
Name: DR. Walter Mathis, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 5, 2011
Last Updated: Oct 5, 2011

Practice Location

Address: 65 SE GOODFELLOW ST
City: Ontario
State: Oregon
ZIP Code: 97914-3016
Phone: (541) 889-6288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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