Provider Demographics
NPI:1326488529
Name:MATHERS, MICHAEL CHARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:MATHERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 BRATTLEBORO RD
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:NH
Mailing Address - Zip Code:03451-2359
Mailing Address - Country:US
Mailing Address - Phone:603-336-5548
Mailing Address - Fax:603-336-5557
Practice Address - Street 1:724 BRATTLEBORO RD
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:NH
Practice Address - Zip Code:03451-2359
Practice Address - Country:US
Practice Address - Phone:603-336-5548
Practice Address - Fax:603-336-5557
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0095582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist