MEDICARE: MATTHEW MAZUR 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
1	183500000X	Pharmacist	18360-40	WI

General Provider Information

NPI Number	:	1275168791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW MAZUR PHARMD

Provider Business Mailing Address
First Line	:	2050 LIME KILN RD
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-6264
Country	:	US
Telephone Number	:	920-406-9049
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 LIME KILN RD
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-6264
Country	:	US
Telephone Number	:	920-406-9049
Fax Number	:

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

Provider Enumeration Date	:	03/04/2020
Last Update Date	:	03/04/2020

Similar Medicare Providers

1669766416 — MR. SCOTT ELWAIN PIGEON RPH
Practice Location Address:

2050 LIME KILN RD
GREEN BAY, WI
54311-6264

Practice Phone: 920-406-9049
Practice Fax:

1780210484 — AMANDA CLARY
Practice Location Address:

2050 LIME KILN RD
GREEN BAY, WI
54311-6264

Practice Phone: 920-406-9049
Practice Fax:

1396406443 — ASHLEY MARY HIGGINS PHARMD
Practice Location Address:

2050 LIME KILN RD
GREEN BAY, WI
54311-6264

Practice Phone: 920-406-9049
Practice Fax:

1750303350 — WISCONSIN CVS PHARMACY LLC
Practice Location Address:

2050 LIME KILN RD
BELLEVUE, WI
54311-6264

Practice Phone: 920-406-9049
Practice Fax: 920-593-9536

1851312854 — RITE AID OF MICHIGAN INC
Practice Location Address:

13916 SOUTHWEST BAY SHORE DRIVE
TRAVERSE CITY, MI
49684-6264

Practice Phone: 231-946-7400
Practice Fax:

1154611366 — MR. STEPHEN M BUCK R.PH.
Practice Location Address:

13916 S WEST BAY SHORE DR
TRAVERSE CITY, MI
49684-6264

Practice Phone: 231-946-7400
Practice Fax:

Directions to “ MATTHEW MAZUR PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.