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Jennifer Matos

Pharmacist in Monroe, NY. Individual provider (NPI-1).

NPI number1013239474
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1013239474
Entity type
Individual (NPI-1)
Name
Jennifer Matos
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2010
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist052028NYYes

Practice location

488 State Route 17m
Monroe, NY 10950-4124

Phone 845-783-7807

Mailing address

488 State Route 17m
Monroe, NY 10950-4124

Phone 845-783-7807

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