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NPI Code Detail

MEDICARE: MRS. LAINE HAWKINS MATHENY RPH

MEDICARE: MRS. LAINE HAWKINS MATHENY RPH
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
1183500000XPharmacist9581NC

General Provider Information

NPI Number : 1023133279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAINE HAWKINS MATHENY RPH
Provider Business Mailing Address
First Line : 221 OAK FOREST DR
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-5614
Country : US
Telephone Number : 828-245-3266
Fax Number : 828-657-5729
Provider Business Practice Location Address
First Line : 1281 US HIGHWAY 221A
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-5921
Country : US
Telephone Number : 828-657-5353
Fax Number : 828-657-5729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LAINE HAWKINS MATHENY RPH” Practice Location

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