Individual
DR. MATTHEW CHARLES MCNITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1173 E HINES ST, REPUBLIC, MO 65738
(417) 735-0055
Mailing address
4062 W REPUBLIC RD, BATTLEFIELD, MO 65619-7108
(417) 730-1456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011021454
MO
Other
Enumeration date
08/01/2018
Last updated
01/03/2022
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