Individual ProviderMary Beth MatuleviciusPharmacistPharmacy Service ProvidersPractice Address1702 W Tilghman St, Allentown, PA 18104-4114(610) 435-3605PECOS EnrollmentBased on the most recent information from CMS, provider Mary Beth Matulevicius does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699058271Provider TypeIndividualFull NameMatulevicius, Mary BethCredentialRPHGenderFemaleSole ProprietorYesEnumeration Date9/21/2011Last Updated9/21/2011Contact InformationPractice LocationPractice Address1702 W Tilghman St, Allentown, PA 18104-4114Phone(610) 435-3605Fax(610) 435-6912Mailing LocationMailing Address1702 W Tilghman St, Allentown, PA 18104-4114Phone(610) 435-3605Fax(610) 435-6912Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP041735LPennsylvania