Matthew Disharoon

Pharmacist · Lavonia, GA

Individual Active NPI

NPI number 1295150332

Practice location

13387 Jones St
Lavonia, GA 30553-1164
Phone
(706) 356-4153

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NPI record

NPI
1295150332
Entity type
Individual (Type 1)
Enumeration date
February 26, 2014
Last updated
February 26, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH027295 GA

Mailing address

243 Seagraves Dr
Athens, GA 30605-2454

About Matthew Disharoon

Matthew Disharoon is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 13387 Jones St, Lavonia, GA 30553-1164. The NPI number 1295150332 was assigned on February 26, 2014 and the record was last updated on February 26, 2014.

Matthew Disharoon lists a license in the registry: #RPH027295 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Disharoon?

The NPI number is 1295150332.

What is the phone number of Matthew Disharoon?

The phone number listed for the practice location is (706) 356-4153.

Where is Matthew Disharoon located?

13387 Jones St, Lavonia, GA 30553-1164.

What is the taxonomy code for Matthew Disharoon?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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