Most Relevant Information
Provider Data
| NPI Number: | 1003447244 |
| Provider Name: | ANITA MATTY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302042328 |
Most Important Dates
| Enumeration Date: | 01/27/2020 |
| Last Updated: | 01/27/2020 |
Provider Practice Location
27660 MIDDLEBELT RD
FARMINGTON HILLS
MI
483345001
Practice Location Phone/Fax
| Phone: | 2484428130 |
| Fax: |
Provider Mailing Location
27660 MIDDLEBELT RD
FARMINGTON HILLS
MI
483345001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |