Individual
JARED THOMAS MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1433 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2131
(417) 967-4521
(417) 967-3598
Mailing address
1433 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2131
(417) 967-4521
(417) 967-3598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008021310
MO
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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