MEDICARE: MATTHEW E DEHNER PHARM. D

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
1	1835P1200X	Pharmacotherapy Pharmacist	57098	CA

General Provider Information

NPI Number	:	1144473471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW E DEHNER PHARM. D

Provider Business Mailing Address
First Line	:	11945 HANDRICH DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-1411
Country	:	US
Telephone Number	:	661-747-6988
Fax Number	:

Provider Business Practice Location Address
First Line	:	11945 HANDRICH DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-1411
Country	:	US
Telephone Number	:	661-747-6988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2008
Last Update Date	:	02/11/2016

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