Individual provider · Type 1 NPI

Amy Louise Mattila

Pharmacist · Ashland, WI

NPI number 1164020764 Active

Practice location

2500 Lake Shore Dr E
Ashland, WI 54806-2421

Fax (715) 685-9941

Mailing address

200 Gary Rd
Washburn, WI 54891-5402

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X11406 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1164020764

Amy Louise Mattila's National Provider Identifier is 1164020764, issued on Oct 15, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ashland, WI. The record was last updated on Oct 15, 2020.