Individual
MR. BRENT ALAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3301 N 4TH ST, LONGVIEW, TX 75605-7959
(903) 663-4362
Mailing address
3301 N 4TH STREET, LONGVIEW, TX 75605
(903) 663-4362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29076
TX
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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