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NPI Code Detail

MEDICARE: DR. MATTHEW J LUNSIK PHARMD

MEDICARE: DR. MATTHEW J LUNSIK 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
1183500000XPharmacist35003TN

General Provider Information

NPI Number : 1083915094
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW J LUNSIK PHARMD
Provider Business Mailing Address
First Line : 1650 E ANDREW JOHNSON HWY
Second Line :
City : GREENEVILLE
State : TN
Zip : 37745-4274
Country : US
Telephone Number : 423-638-4889
Fax Number : 423-638-7152
Provider Business Practice Location Address
First Line : 1650 E ANDREW JOHNSON HWY
Second Line :
City : GREENEVILLE
State : TN
Zip : 37745-4274
Country : US
Telephone Number : 423-638-4889
Fax Number : 423-638-7152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2010
Last Update Date : 11/07/2010

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