Alison Dael Matheny, PHARMD

Individual provider Active NPI Pharmacist · North Manchester, IN

NPI 1366072092 · NPPES record last updated Jan 22, 2020

Key facts

NPI
1366072092
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26020534A (IN)
Practice address
302 E Main St
North Manchester, IN 46962-1608
Phone
(260) 982-4713
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26020534AINMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26020534A IN Yes

Addresses

Primary practice location

302 E Main St
North Manchester, IN 46962-1608

Mailing address

302 E Main St
North Manchester, IN 46962-1608

Other providers in North Manchester, IN

All providers in North Manchester, IN · Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.