Individual
DR. MATTHEW STEPHEN GLOWANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM, D
Contact information
Practice address
111 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 523-3502
Mailing address
111 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 523-3502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012681
WV
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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