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NPI Code Detail

MEDICARE: MATTHEW GLENN LUND PHARM.D.

MEDICARE: MATTHEW GLENN LUND PHARM.D.
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
1183500000XPharmacist69512CA

General Provider Information

NPI Number : 1588111447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW GLENN LUND PHARM.D.
Provider Business Mailing Address
First Line : 7367 HEALIS PL
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-2278
Country : US
Telephone Number : 909-437-0951
Fax Number :
Provider Business Practice Location Address
First Line : 4647 ZION AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-2507
Country : US
Telephone Number : 619-528-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 03/11/2026

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