Individual
DR. IBRAHIM MATTICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7111
Mailing address
7654 MELROSE LN, CHARLESTOWN, IN 47111-0049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022241
KY
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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