Provider Demographics
NPI:1578284691
Name:MATRX PHARMACY, LLC
Entity Type:Organization
Organization Name:MATRX PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:360-863-3009
Mailing Address - Street 1:2212 S JACKSON ST
Mailing Address - Street 2:STE 221
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2339
Mailing Address - Country:US
Mailing Address - Phone:206-788-8088
Mailing Address - Fax:206-777-0966
Practice Address - Street 1:2212 S JACKSON ST
Practice Address - Street 2:STE 221
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2339
Practice Address - Country:US
Practice Address - Phone:206-788-8088
Practice Address - Fax:206-777-0966
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MATRX PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy