Individual
DR. MATTHEW DYLAN MONICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
101 S MAIN ST, CIMARRON, KS 67835-8856
(620) 855-2242
Mailing address
101 S MAIN ST, PO BOX 207, CIMARRON, KS 67835-8856
(620) 855-2242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14776
KS
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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