NPI | 1407367410 |
---|---|
Doing Business As | ST MATTHEWS SPECIALTY PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | BRAD ECKMANN Owner 844-690-4462 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KY P07869) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
Enumeration Date | 2017-10-17 |
Last Update Date | 2025-10-01 |