Individual provider · Type 1 NPI

Mariam Matta

Pharmacist · Antioch, CA

NPI number 1194209114 Active

Practice location

3416 Deer Valley Rd
Antioch, CA 94531-6650

Call (925) 978-8000 Map

Mailing address

200 Wilmot Rd
Deerfield, IL 60015-4620

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH78597 (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 1194209114

Mariam Matta's National Provider Identifier is 1194209114, issued on Sep 17, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Antioch, CA. The record was last updated on Sep 17, 2018.