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Individual

MR. JOHN M MATHENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
348B COLUMBIA AVE, LEXINGTON, SC 29072-2657
(803) 957-5969
(803) 808-1829
Mailing address
348B COLUMBIA AVE, LEXINGTON, SC 29072-2657
(803) 957-5969
(803) 808-1829

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5000
SC

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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