Individual
MRS. LOIS MATALAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1412 N DUPONT HWY, NEW CASTLE, DE 19720-1844
(302) 328-3175
(302) 328-4365
Mailing address
110 N PRINCETON AVE, WENONAH, NJ 08090-2049
(609) 457-2200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0004000
DE
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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