Katie Rose Mattox, PHARMD

NPI #1740873777 in Old Lyme, Connecticut

Provider Information

NPI Number: 1740873777
Entity Type: Individual
Name: Katie Rose Mattox, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Feb 20, 2021
Last Updated: Feb 20, 2021

Practice Location

Address: 193 BOSTON POST RD
City: Old Lyme
State: Connecticut
ZIP Code: 06371-1312
Phone: (860) 510-6975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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