Individual
MR. JOHN MICHAEL MATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
34 VALERIE DR, BOLTON, CT 06043-7846
(860) 966-2006
Mailing address
34 VALERIE DR, BOLTON, CT 06043-7846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0005235
CT
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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