Individual provider · Type 1 NPI

Washdev S. Mata, RPH

Pharmacist · Canton, MI

NPI number 1346682952 Active

Practice location

6624 N Canton Center Rd
Canton, MI 48187-1651

Call (734) 335-6312 Map

Fax (313) 202-8233

Mailing address

PO Box 871249
Canton, MI 48187-6249

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302026382 (MI)

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 1346682952

Washdev S. Mata, RPH's National Provider Identifier is 1346682952, issued on Jul 24, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Canton, MI. The record was last updated on Oct 16, 2014.