MEDICARE: LAURA MATARAZZO 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	RP035981L	PA

General Provider Information

NPI Number	:	1225434400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MATARAZZO RPH

Provider Business Mailing Address
First Line	:	2112 GLENDALE AVE
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-2288
Country	:	US
Telephone Number	:	724-654-5229
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 GLENDALE AVE
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-2288
Country	:	US
Telephone Number	:	724-654-5229
Fax Number	:

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

Provider Enumeration Date	:	11/14/2014
Last Update Date	:	11/14/2014

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Directions to “ LAURA MATARAZZO RPH” Practice Location

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