Healthcare Provider Details
I. General information
NPI: 1629990098
Provider Name (Legal Business Name): MATHES PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1621 CHARLESTOWN RD
NEW ALBANY IN
47150-3339
US
IV. Provider business mailing address
1621 CHARLESTOWN RD
NEW ALBANY IN
47150-3339
US
V. Phone/Fax
- Phone: 812-944-3612
- Fax:
- Phone: 812-944-3612
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
DONES
Title or Position: VICE PRESIDENT
Credential: PHARMD
Phone: 812-944-3612