Jack Mattson, RPH

NPI #1063820405 in Wichita, Kansas

Provider Information

NPI Number: 1063820405
Entity Type: Individual
Name: Jack Mattson, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 29, 2014
Last Updated: Jul 29, 2014

Practice Location

Address: 3707 N WOODLAWN BLVD
City: Wichita
State: Kansas
ZIP Code: 67220-2222
Phone: (316) 691-9134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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