Individual
MATTHEW SCHWALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 NATIONAL RD E, RICHMOND, IN 47374-3643
(765) 935-2760
Mailing address
3700 NATIONAL RD E, RICHMOND, IN 47374-3643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439406
OH
183500000X
Pharmacist
26028484A
IN
Other
Enumeration date
12/06/2020
Last updated
12/09/2020
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