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Individual

MATTHEW SCOTT MUSTAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
7059 ORCHARD CENTRE DR, HOLLAND, OH 43528-7961
(567) 297-4110
Mailing address
1615 S FULTON LUCAS RD, SWANTON, OH 43558-9657
(419) 944-7557

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0303122413
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0303122413
OH

Other

Enumeration date
03/30/2019
Last updated
06/15/2026
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