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Individual

MATTHEW BENJAMIN MCCORMLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1027 JEFFERSONVILLE COMMONS DR, JEFFERSONVILLE, IN 47130-8395
(812) 288-9245
Mailing address
1027 JEFFERSONVILLE COMMONS DR, JEFFERSONVILLE, IN 47130-8395
(812) 288-9245

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
023787
KY
3336C0003X
Community/Retail Pharmacy
Primary
26030487A
IN

Other

Enumeration date
09/27/2024
Last updated
09/27/2024
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