Individual
DR. MATTHEW MARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
245 E 5TH ST, EUREKA, MO 63025-1223
(636) 938-4102
Mailing address
385 GENOA DR, BALLWIN, MO 63021-6407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019000452
MO
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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