Individual
MATTHEW WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HWY 68 & TOPAWA RD, SELLS, AZ 85634
(520) 383-7350
Mailing address
318 ABALONE LOOP, MESCALERO, NM 88340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64934
TX
Other
Enumeration date
02/13/2020
Last updated
11/18/2021
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