Individual
MS. DONNA G MATTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1053 JASON PL, CHATHAM, IL 62629-2018
(217) 483-7431
(217) 483-7491
Mailing address
7513 SOUTHPORT LN, SPRINGFIELD, IL 62711-6771
(217) 622-3674
(217) 483-7491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-037479
IL
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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