Provider Demographics
NPI:1477570935
Name:MATTHEWS, MATTHEW EVERETT (RPH)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:EVERETT
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 COLONY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-1240
Mailing Address - Country:US
Mailing Address - Phone:412-821-8410
Mailing Address - Fax:
Practice Address - Street 1:915 MOUNT ROYAL BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15223-1046
Practice Address - Country:US
Practice Address - Phone:412-486-5200
Practice Address - Fax:412-486-3335
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPO38344L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist