Individual
MRS. DEBRA L MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1940 TAMARACK RD, NEWARK, OH 43055-1363
(740) 522-9761
(740) 522-9776
Mailing address
640 KIMBERLY CT, HEATH, OH 43056-1777
(740) 323-0288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-19416
OH
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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