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NPI Code Detail

MEDICARE: ASHLEY MATALON

MEDICARE: ASHLEY MATALON
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
1183500000XPharmacist03442397OH

General Provider Information

NPI Number : 1215665526
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MATALON
Provider Business Mailing Address
First Line : 4343 EQUITY DR STE A
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-3842
Country : US
Telephone Number : 833-614-4438
Fax Number :
Provider Business Practice Location Address
First Line : 4343 EQUITY DR STE A
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-3842
Country : US
Telephone Number : 833-614-4438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2022
Last Update Date : 06/01/2026

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Directions to “ ASHLEY MATALON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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