Search › Rhode Island › 183500000X
John Matta, PHARMD
NPI 1205119237 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1763 Broad St
Cranston, RI 02905 - Phone
- (401) 461-6770
- Fax
- (401) 461-3925
- Organisation at this address
- Walgreens
Walgreen CoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- RI, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island