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Individual

MATTHEW J COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
101 WILLAPA AVE, SOUTH BEND, WA 98586-0395
(360) 875-5757
(360) 875-6021
Mailing address
PO BOX 395, SOUTH BEND, WA 98586-0395
(360) 875-5757
(360) 875-6021

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00060564
WA

Other

Enumeration date
07/17/2012
Last updated
07/17/2012
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