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Individual
MR. MATTHEW H KOPACKI
Active
Individual
MR. MATTHEW H KOPACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI1990300
NJ
183500000X
Pharmacist
PH20591
MA
183500000X
Pharmacist
PR4238
ME
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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