MEDICARE: DAVID E. MATEER 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
1	183500000X	Pharmacist	RP025266L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP025266L	OTHER	PA	STATE LICENSE

General Provider Information

NPI Number	:	1194895367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID E. MATEER RPH

Provider Business Mailing Address
First Line	:	237 WASHINGTON ST
Second Line	:
City	:	SALTSBURG
State	:	PA
Zip	:	15681-1131
Country	:	US
Telephone Number	:	724-639-9022
Fax Number	:	724-639-3535

Provider Business Practice Location Address
First Line	:	237 WASHINGTON ST
Second Line	:
City	:	SALTSBURG
State	:	PA
Zip	:	15681-1131
Country	:	US
Telephone Number	:	724-639-9022
Fax Number	:	724-639-3535

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	01/20/2012

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Directions to “ DAVID E. MATEER RPH” Practice Location

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