Provider Demographics
NPI:1922729649
Name:RECKERS, MATTHEW ALEXANDER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALEXANDER
Last Name:RECKERS
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 1:3052 CITATION LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:OH
Mailing Address - Zip Code:45052-9798
Mailing Address - Country:US
Mailing Address - Phone:513-410-2562
Mailing Address - Fax:
Practice Address - Street 1:3000 MACK RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5335
Practice Address - Country:US
Practice Address - Phone:513-870-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03441865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist