Individual
MATTHEW SCOTT SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
106 E MARKET ST, CRAWFORDSVILLE, IN 47933-1720
(765) 362-1139
Mailing address
106 E MARKET ST, CRAWFORDSVILLE, IN 47933-1720
(765) 362-1139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020136A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26020136A
STATE LICENSE
IN
Enumeration date
04/12/2021
Last updated
04/12/2021
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