| NPI | 1386516474 |
|---|---|
| Doing Business As | MATRIX VIP OHIO |
| Entity Type | Organization |
| Authorized Contact | JUSTIN WACLAWEK COO 716-876-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |