Organization
MATTHEWS INC
Active
Other names
MATTHEWS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SPENCER MATTHEWS RPH (OWNER CEO)
(910) 592-3121
Entity
Organization
Contact information
Practice address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-3121
(910) 592-5111
Mailing address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-3121
(910) 592-5111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
003350
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0476P
BLUE CROSS BLUE SHIELD
NC
05
—
3564
—
NC
05
—
7700182
—
NC
Enumeration date
01/03/2006
Last updated
08/22/2022
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