Clint Mathewson

NPI #1730782004 in Wapakoneta, Ohio

Provider Information

NPI Number: 1730782004
Entity Type: Individual
Name: Clint Mathewson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 19, 2020
Last Updated: Nov 19, 2020

Practice Location

Address: 1101 BELLEFONTAINE ST
City: Wapakoneta
State: Ohio
ZIP Code: 45895-9731
Phone: (419) 738-8926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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