Mattawan Pharmacy
NPI #1376655365 in Mattawan, Michigan
Provider Information
- NPI Number
- 1376655365
- Entity Type
- Organization
- Organization Name
- Mattawan Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 24, 2008
Practice Location
Authorized Official
- Name
- EDWARD NANTAIS
- Title
- OWNER PHCST
- Phone
- (269) 668-4549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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