Individual
MR. MATTHEW A PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1217 CAMPBELL ST, BAKER CITY, OR 97814-2221
(541) 523-2138
Mailing address
3660 BIRCH ST, BAKER CITY, OR 97814-1638
(801) 830-8561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH001749
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH001749
PHARMACIST LICENSE
OR
05
—
RPH001749
—
OR
Enumeration date
05/08/2019
Last updated
05/08/2019
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