MEDICARE: MATTHEW SAMUEL DREHER

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	PP413139L	PA
2	183500000X	Pharmacist	RP450200	PA
3	183500000X	Pharmacist	PP410032L	PA

General Provider Information

NPI Number	:	1073114856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW SAMUEL DREHER

Provider Business Mailing Address
First Line	:	PO BOX 10
Second Line	:
City	:	EMLENTON
State	:	PA
Zip	:	16373-0010
Country	:	US
Telephone Number	:	724-867-2400
Fax Number	:	724-867-6644

Provider Business Practice Location Address
First Line	:	9 E STATE ST
Second Line	:
City	:	ALBION
State	:	PA
Zip	:	16401-1110
Country	:	US
Telephone Number	:	814-756-3429
Fax Number	:	814-756-5882

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

Provider Enumeration Date	:	11/06/2020
Last Update Date	:	11/06/2020

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Directions to “ MATTHEW SAMUEL DREHER ” Practice Location

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