MEDICARE: JOHANA NICOLE MATTHEWS 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	183500000X	Pharmacist	03-2-26324	OH

General Provider Information

NPI Number	:	1447378732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANA NICOLE MATTHEWS PHARM.D,

Provider Business Mailing Address
First Line	:	8590 STERLING CT
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-8535
Country	:	US
Telephone Number	:	614-332-1305
Fax Number	:

Provider Business Practice Location Address
First Line	:	8590 STERLING CT
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-8535
Country	:	US
Telephone Number	:	614-332-1305
Fax Number	:

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/12/2021

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