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NPI Code Detail

MEDICARE: MATTHEW EUGENE COMPANY

MEDICARE:   MATTHEW EUGENE COMPANY
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
1183500000XPharmacist03237219OH

General Provider Information

NPI Number : 1871017731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW EUGENE COMPANY
Provider Business Mailing Address
First Line : 8232 SAINT PETERS CHURCH RD NW
Second Line :
City : BOLIVAR
State : OH
Zip : 44612-8529
Country : US
Telephone Number : 330-418-7027
Fax Number :
Provider Business Practice Location Address
First Line : 3129 LINCOLN WAY E
Second Line :
City : MASSILLON
State : OH
Zip : 44646-3756
Country : US
Telephone Number : 330-837-3138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2017
Last Update Date : 08/01/2017

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Directions to “ MATTHEW EUGENE COMPANY ” Practice Location

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