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Matt S Kotch

Pharmacist in High Point, NC. Individual provider (NPI-1).

NPI number1881985141
StatusActive
Last updated in NPPESApr 21, 2011

Details

NPI
1881985141
Entity type
Individual (NPI-1)
Name
Mr. Matt S Kotch
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2011
Last updated
Apr 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist21196NCYes

Practice location

1050 Mall Loop Rd
Target Pharmacy 1079
High Point, NC 27262-7656

Phone 336-884-1260 · Fax 336-884-1260

Mailing address

2380 Carlyle Place Dr
Apt 104
Winston Salem, NC 27103-5063

Phone 336-293-8379 · Fax 336-884-1260

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