Thomas Lee Mattingly, RPH

NPI #1972264117 in Grayson, Kentucky

Provider Information

NPI Number
1972264117
Entity Type
Individual
Name
Thomas Lee Mattingly, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Credential
RPH
Enumeration Date
Jan 9, 2022
Last Updated
Jan 9, 2022

Practice Location

Address
630 N CAROL MALONE BLVD
ZIP Code
41143-1124
Phone
(606) 475-0033

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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