Provider Demographics
NPI:1578174959
Name:PAGANO, MATHEW AARON (PHARMD)
Entity Type:Individual
Prefix:
First Name:MATHEW
Middle Name:AARON
Last Name:PAGANO
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 1:2015 STATE RD STE A
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1425
Mailing Address - Country:US
Mailing Address - Phone:330-929-9183
Mailing Address - Fax:
Practice Address - Street 1:2015 STATE RD STE A
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1425
Practice Address - Country:US
Practice Address - Phone:330-929-9183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist