Individual
AMANDEEP MATHARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 HALL AVE, MARINETTE, WI 54143-1236
(715) 732-4102
(715) 732-4518
Mailing address
1423 S COLLINS ST, PLANT CITY, FL 33563-6577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19207-40
WI
183500000X
Pharmacist
PS53824
FL
Other
Enumeration date
08/08/2015
Last updated
02/20/2020
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