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MR. JOHN MICHAEL MATKOWSKI RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1720364557
Individual Registrant:MR. JOHN MICHAEL MATKOWSKI RPH
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
34 VALERIE DR BOLTON, CT 06043-7846 US
Tel: 860-966-2006 Fax: --
Tel: 860-966-2006 Fax: --
Contact information for business:
34 VALERIE DR BOLTON, CT 06043-7846 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1720364557
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CT | PCT.0005235 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
