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NPI Code Detail

MEDICARE: MR. MATTHEW KARL FELTMAN RPH

MEDICARE: MR. MATTHEW KARL FELTMAN 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
1183500000XPharmacist03-1-19000OH

General Provider Information

NPI Number : 1215093588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW KARL FELTMAN RPH
Provider Business Mailing Address
First Line : 8549 WOODS PT
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-8112
Country : US
Telephone Number : 513-469-0182
Fax Number :
Provider Business Practice Location Address
First Line : 1014 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1141
Country : US
Telephone Number : 513-762-1095
Fax Number : 513-762-1547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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