Individual provider · Type 1 NPI

Paul Matala

Pharmacist · Port St. Lucie, FL

NPI number 1801167283 Active

Practice location

1661 NW Saint Lucie West Blvd
Port St. Lucie, FL 34986-2106

Call (772) 873-1892 Map

Fax (772) 873-1897

Mailing address

1661 NW Port St Lucie West Blvd
Port St. Lucie, FL 34986

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS39644 (FL)

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 1801167283

Paul Matala's National Provider Identifier is 1801167283, issued on Jan 18, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 18, 2012.