Individual provider · Type 1 NPI

Marco Paolo Miral Matlock

Pharmacist · Hagerstown, MD

NPI number 1962362251 Active

Practice location

1631 Dual Hwy
Hagerstown, MD 21740-6545

Mailing address

40042 Branca Dr
Frederick, MD 21702-8203

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X30665 (MD)

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 1962362251

Marco Paolo Miral Matlock's National Provider Identifier is 1962362251, issued on Nov 18, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hagerstown, MD. The record was last updated on Nov 18, 2025.