Mat Enterprises LLC
NPI #1154190957 in Holts Summit, Missouri
Provider Information
- NPI Number
- 1154190957
- Entity Type
- Organization
- Organization Name
- Mat Enterprises LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Dec 21, 2023
- Last Updated
- Dec 21, 2023
Practice Location
- Address
- 140 NORTHSTAR DR
- City
- Holts Summit
- State
- Missouri
- ZIP Code
- 65043-1123
- Phone
- (573) 826-4151
Authorized Official
- Name
- ANTHONY DESHA
- Title
- OWNER
- Phone
- (573) 826-4151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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