Doctor Name: | ROBERT ANTHONY MATLI |
NPI Number: | 1063796928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH |
License Number: | RPH35497 |
Business Practice Address: | 2238 Westborotgh Blvd South San Francisco, CA - 94080 |
Business Phone Number: | 6508730551 |
Business Fax Number: | |
Mailing Address: | 2463 Funston Ave, SAN FRANCISCO |
State: | CA |
Postal Code: | 941161950 |
Phone Number: | 4155669995 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | RPH35497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |