Individual
DR. MEGAN ANNE MATACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
701 PARK AVE, RL, MINNEAPOLIS, MN 55415-1623
(612) 873-9513
Mailing address
334 14TH AVE N, HOPKINS, MN 55343-7333
(612) 873-9513
(612) 904-4286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118862
MN
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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