Matthew Russell Hines

NPI #1053916288 in Howell, Michigan

Provider Information

NPI Number: 1053916288
Entity Type: Individual
Name: Matthew Russell Hines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 4, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 2400 W GRAND RIVER AVE
City: Howell
State: Michigan
ZIP Code: 48843-8585
Phone: (517) 548-7070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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