Provider Demographics
NPI:1316248412
Name:FIREK, MATTHEW M (PHARM, D)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:M
Last Name:FIREK
Suffix:
Gender:M
Credentials:PHARM, D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 FREEDOM RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4913
Mailing Address - Country:US
Mailing Address - Phone:724-742-1888
Mailing Address - Fax:
Practice Address - Street 1:1181 FREEDOM RD
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-4913
Practice Address - Country:US
Practice Address - Phone:724-742-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-06
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist