Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK IRA VAN MATRE
ActiveMARK IRA VAN MATRE is a Pharmacist Clinician (PhC) healthcare provider located in LONDON, Ohio. NPI 1396621306 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · LONDON, OH
Registration Details
- NPI Number
- 1396621306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2025 (0.99704705071721 yrs)
- Last Updated
- Aug 14, 2025
- License
-
03445796 (OH)
Practice Information
- Address
-
230 LAFAYETTE STLONDON, OH, 431409059Browse OH providers · Browse ZIP 43140
- Phone
- 7408527550
- Fax
- 7408527551
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Other Pharmacist Clinician (PhC) Providers in LONDON, OH
| Name | Credential | NPI |
|---|---|---|
| MICHELLE LYNN ANDERS | — | 1144828575 |
| ALI ALFAOUR | PHARMD | 1689445629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.