MR. Matthew A Huntman

NPI #1902181605 in Fenton, Missouri

Provider Information

NPI Number: 1902181605
Entity Type: Individual
Name: MR. Matthew A Huntman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 13, 2011
Last Updated: Oct 13, 2011

Practice Location

Address: 1001 BOWLES AVE
City: Fenton
State: Missouri
ZIP Code: 63026-2338
Phone: (636) 343-0754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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