Taheri, Matthew Charles

Taheri, Matthew Charles is an individual health care provider with primary practice located at 1614 Glenn Blvd Sw , Fort Payne AL 35968-3522. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Taheri, Matthew Charles can be contacted via phone (256) 845-3402.

Contact Information

Primary practice address
1614 Glenn Blvd Sw Fort Payne AL 35968-3522
Phone: (256) 845-3402
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 17020 Alabama

Profile Details

NPI number 1871858423
LBN Legal business name Taheri, Matthew Charles
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Jul 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871858423 NPPES
Alabama MEDICAID 114937

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