Etienne Jean De Dieu Matanda Matanda, - Pharmacist in Kerman, CA

Etienne Jean De Dieu Matanda Matanda, is a Pharmacist based in Kerman, California. Etienne Jean De Dieu Matanda Matanda is licensed to practice in California (license number 79185) and his current practice location is 14967 W Whitesbridge Ave, Kerman, California. He can be reached at his office (for appointments etc.) via phone at (559) 842-0030.

NPI number for Etienne Jean De Dieu Matanda Matanda is 1811558703 and his current mailing address is 285 S Kona Ave, Fresno, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811558703.

Contact Information

Etienne Jean De Dieu Matanda Matanda,
14967 W Whitesbridge Ave,
Kerman, CA 93630-1111
(559) 842-0030
Not Available

Healthcare Provider's Profile

Full NameEtienne Jean De Dieu Matanda Matanda
GenderMale
SpecialityPharmacist
Location14967 W Whitesbridge Ave, Kerman, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811558703
  • Provider Enumeration Date: 06/22/2019
  • Last Update Date: 06/22/2019

Medical Identifiers

Medical identifiers for Etienne Jean De Dieu Matanda Matanda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811558703NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 79185 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Etienne Jean De Dieu Matanda Matanda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Etienne Jean De Dieu Matanda Matanda,
285 S Kona Ave,
Fresno, CA 93727-3481

Ph: (254) 366-1507
Etienne Jean De Dieu Matanda Matanda,
14967 W Whitesbridge Ave,
Kerman, CA 93630-1111

Ph: (559) 842-0030

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› Verified 9 days ago


Pharmacist in Kerman, CA

Dat Nguyen, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14061 W Whitesbridge Ave, Kerman, CA 93630
Phone: 559-846-1200    
Na Young Lee,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14967 W Whitesbridge Ave, Kerman, CA 93630
Phone: 559-842-0030    
Dennis Elek, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    Fax: 559-846-9756
Daniel Emenike Ogbuehi, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    
Natalie Ng,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    Fax: 559-846-9756
Dr. Tony Nguyen, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14061 W Whitesbridge Ave, Kerman, CA 93630
Phone: 559-846-1209    
Nekeitha Lyn Mccauley, PHARM D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    

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