Individual
DR. MATHEW PHELAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
902 ENGH RD, OMAK, WA 98841-9473
(509) 826-6146
(509) 826-6242
Mailing address
902 ENGH RD, PO BOX 3606, OMAK, WA 98841-9473
(509) 826-6146
(509) 826-6242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00040309
WA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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