MARK IRA VAN MATRE

LONDON, OH
NPI1396621306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OH  03445796)
Enumeration Date2025-08-14
Last Update Date2025-08-14
Business Address
MARK IRA VAN MATRE
230 LAFAYETTE ST
LONDON, OH 43140-9059
Phone number: 740-852-7550
Mailing Address
MARK IRA VAN MATRE
124 REGENCY DR
CEDARVILLE, OH 45314-9501
Phone number: