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NPI Code Detail

MEDICARE: DR. MATTHEW M RAFA PHARM.D.

MEDICARE:  DR. MATTHEW M RAFA  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
1183500000XPharmacistRP0007530WV

General Provider Information

NPI Number : 1881909364
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW M RAFA PHARM.D.
Provider Business Mailing Address
First Line : 200 MOUNT DE CHANTAL RD
Second Line :
City : WHEELING
State : WV
Zip : 26003-6563
Country : US
Telephone Number : 304-233-5485
Fax Number : 304-233-5488
Provider Business Practice Location Address
First Line : 200 MOUNT DE CHANTAL RD
Second Line :
City : WHEELING
State : WV
Zip : 26003-6563
Country : US
Telephone Number : 304-233-5485
Fax Number : 304-233-5488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2010
Last Update Date : 08/09/2010

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Directions to “ DR. MATTHEW M RAFA PHARM.D.” Practice Location

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