Provider Demographics
NPI:1003043357
Name:MATTY, DONNA DOWD (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:DOWD
Last Name:MATTY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 TISCHLER RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-3834
Mailing Address - Country:US
Mailing Address - Phone:412-833-0124
Mailing Address - Fax:
Practice Address - Street 1:2777 TISCHLER RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-3834
Practice Address - Country:US
Practice Address - Phone:412-833-0124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-14
Last Update Date:2009-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034666L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist