Individual
MARK ANTHONY MATZKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
301 S ELLINGTON PKWY, LEWISBURG, TN 37091-3454
(931) 359-2980
(931) 359-3396
Mailing address
301 S ELLINGTON PKWY, LEWISBURG, TN 37091-3454
(931) 359-2890
(931) 359-3396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8851
TN
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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