Individual provider · Type 1 NPI

Reba Anil Mathew

Pharmacist · Manteca, CA

NPI number 1114891207 Active

Practice location

2489 Green Valley Ln
Manteca, CA 95336-8335

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH91585 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1114891207

Reba Anil Mathew's National Provider Identifier is 1114891207, issued on Oct 1, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Manteca, CA. The record was last updated on Oct 1, 2025.