Individual
MATTHEW RYAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1620 N 59TH AVE, PHOENIX, AZ 85035-4985
(623) 849-2084
Mailing address
12175 W MCDOWELL RD, APT. 2203, AVONDALE, AZ 85392-5300
(605) 261-4363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018495
AZ
Other
Enumeration date
08/30/2011
Last updated
12/05/2011
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