Individual
KPAH CHARLES MATADI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 BURDICK EXPY E STE 201, MINOT, ND 58701-4769
(701) 857-7900
Mailing address
1909 31ST AVE SW APT 450, MINOT, ND 58701-7465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6594
ND
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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