Individual
MATTHEW E CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 595-7900
Mailing address
2507 FLINTRIDGE DR, COLORADO SPRINGS, CO 80918-4405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023445
CO
390200000X
Student in an Organized Health Care Education/Training Program
PI45594
ME
Other
Enumeration date
07/28/2018
Last updated
11/17/2023
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