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NPI Code Detail

MEDICARE: DR. KATHRYN ROSE MATTHIAS PHARMD

MEDICARE: DR. KATHRYN ROSE MATTHIAS 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
1183500000XPharmacist14854AZ

General Provider Information

NPI Number : 1306846944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN ROSE MATTHIAS PHARMD
Provider Business Mailing Address
First Line : 4820 N CALLE BOSQUE
Second Line :
City : TUCSON
State : AZ
Zip : 85718-6353
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-626-2484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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