Individual
MATTHEW JOHN CARRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
364 BRECK DR, CARO, MI 48723-1202
(810) 449-1861
Mailing address
364 BRECK DR, CARO, MI 48723-1202
(810) 449-1861
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303005632
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C660589429675
DRIVER'S LICENSE
MI
Enumeration date
11/11/2022
Last updated
11/11/2022
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