Individual
TIMOTHY J MATTHEWS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 MANN RD, INDIANAPOLIS, IN 46221-2337
(317) 487-0722
Mailing address
4621 ROOKWOOD AVE, INDIANAPOLIS, IN 46208-3438
(563) 940-1590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024287A
IN
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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