DR. Benjamin William Mattila, PHARMD

NPI #1265030225 in Saukville, Wisconsin

Provider Information

NPI Number: 1265030225
Entity Type: Individual
Name: DR. Benjamin William Mattila, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 13, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 825 E GREEN BAY AVE
City: Saukville
State: Wisconsin
ZIP Code: 53080-2611
Phone: (262) 284-9881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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