Individual
MR. MATTHEW A HUNTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 BOWLES AVE, FENTON, MO 63026-2338
(636) 343-0754
(636) 343-0697
Mailing address
1001 BOWLES AVE, FENTON, MO 63026-2338
(636) 343-0754
(636) 343-0697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000169294
MO
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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