Matlock, Derek

Matlock, Derek is an individual health care provider with primary practice located at 3715 Ocean Beach Hwy # 2 , Longview WA 98632-4801. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Matlock, Derek can be contacted via phone (360) 355-3082.

Contact Information

Primary practice address
3715 Ocean Beach Hwy # 2 Longview WA 98632-4801
Phone: (360) 355-3082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60758206 Washington

Profile Details

NPI number 1982110805
LBN Legal business name Matlock, Derek
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2017
Last updated Dec 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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