Individual
MATTHEW SHAMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2845 W CLEVELAND RD, SOUTH BEND, IN 46628-6188
(574) 277-1538
Mailing address
25888 RUNNING CREEK DR, SOUTH BEND, IN 46628-9139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021719A
IN
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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