Keeley Michelle Matson PHARM. D.

NPI 1114932787 - Pharmacist - 183500000X

NPI Details
NPI 1114932787
Gender Female
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5000 W NATIONAL AVE
MILWAUKEE WI, 53295-0001, US
Phone (414) 384-2000
Fax
Business Location
211 N CROCKER AVE
PORT WASHINGTON WI, 53074-1706, US
Phone (414) 384-2000
Fax
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 14409-40
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According to our database, Mrs. Keeley Michelle Matson PHARM. D. NPI is 1114932787, taxonomy code is 183500000X and license number is 14409-40, license state is located at Wisconsin. Keeley Michelle Matson PHARM. D. physically located at 5000 W National Ave, Milwaukee WI, 53295-0001. NPI Number Keeley Michelle Matson PHARM. D. has the Individual type.

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1114932787 NPI number is provided on an as is basis without warranty of any kind. 1114932787 is maintained by the National Plan & Provider Enumeration System. The contents of Keeley Michelle Matson PHARM. D. are for informational purposes only.