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Individual
DR. MATTHEW DEON GAINEY
Active
Individual
DR. MATTHEW DEON GAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13481
SC
183500000X
Pharmacist
Primary
66646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13481
PHARMACIST LICENSE
SC
01
—
66646
PHARMACIST LICENSE
CA
01
—
F3670723
DRIVERS LICENSE
CA
Enumeration date
10/11/2019
Last updated
10/11/2019
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