Individual
ADAM DAVID MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9400 STATE ROAD 16, TARGET PHARMACY, ONALASKA, WI 54650-8540
(608) 779-5780
(608) 406-3496
Mailing address
9400 STATE ROAD 16, TARGET PHARMACY, ONALASKA, WI 54650-8540
(608) 779-5780
(608) 406-3496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051293610
IL
183500000X
Pharmacist
Primary
15328-40
WI
183500000X
Pharmacist
20847
IA
Other
Enumeration date
06/06/2011
Last updated
04/06/2014
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