Most Relevant Information
Provider Data
| NPI Number: | 1003023011 |
| Provider Name: | NANCY J MATYUNAS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 9685 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2215 PORTLAND AVE
LOUISVILLE
KY
402121033
Practice Location Phone/Fax
| Phone: | 5027720889 |
| Fax: |
Provider Mailing Location
1730 DEER PARK AVE
LOUISVILLE
KY
402051222
Provider Mailing Phone/Fax
| Phone: | 5024585077 |
| Fax: |