Individual
MATTHEW BENJAMIN MCCORMLEY
Active
Individual
MATTHEW BENJAMIN MCCORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
023787
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26030487A
IN
3336C0003X
Community/Retail Pharmacy
023787
KY
3336C0003X
Community/Retail Pharmacy
Primary
26030487A
IN
Other
Enumeration date
09/27/2024
Last updated
06/26/2026
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