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NPI Code Detail

MEDICARE: MATTHEW ROBERT ASHBROCK PHARMD

MEDICARE: MATTHEW ROBERT ASHBROCK PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26020693AIN

General Provider Information

NPI Number : 1033491816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW ROBERT ASHBROCK PHARMD
Provider Business Mailing Address
First Line : 5095 E THOMPSON RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1946
Country : US
Telephone Number : 317-783-6547
Fax Number : 317-791-8449
Provider Business Practice Location Address
First Line : 5095 E THOMPSON RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1946
Country : US
Telephone Number : 317-783-6547
Fax Number : 317-791-8449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 09/16/2011

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