Matthew Staub, RPH

NPI #1265821979 in Lady Lake, Florida

Provider Information

NPI Number: 1265821979
Entity Type: Individual
Name: Matthew Staub, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 19, 2015
Last Updated: Jan 19, 2015

Practice Location

Address: 1566 BELLA CRUZ DR
City: Lady Lake
State: Florida
ZIP Code: 32159-8969
Phone: (352) 750-9863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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