Most Relevant Information
Provider Data
| NPI Number: | 1003225772 |
| Provider Name: | MATTHEW ALEXANDER WEATHERS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 55292 |
Most Important Dates
| Enumeration Date: | 08/07/2014 |
| Last Updated: | 08/07/2014 |
Provider Practice Location
138 COUNTY ROAD 2820
BOX 152
SLIDELL
TX
762670152
Practice Location Phone/Fax
| Phone: | 9403896421 |
| Fax: |
Provider Mailing Location
PO BOX 152
SLIDELL
TX
762670152
Provider Mailing Phone/Fax
| Phone: | 9403896421 |
| Fax: |