Individual
MATT MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3799 COUNTY ROAD 197, MONROE CITY, MO 63456-2073
(573) 439-4839
Mailing address
3799 COUNTY ROAD 197, MONROE CITY, MO 63456-2073
(573) 439-4839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2006008306
MO
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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