Individual provider · Type 1 NPI

Randolph Mattila

Pharmacist · Grants, NM

NPI number 1740680099 Active

Practice location

1208 Bonita St
Grants, NM 87020-2234

Call (505) 287-2600 Map

Mailing address

36 Hamilton Rd
Grants, NM 87020-3766

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP00004614 (NM)

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…

8 other providers at this address

Other pharmacist providers in Grants

See all in Grants →

About NPI 1740680099

Randolph Mattila's National Provider Identifier is 1740680099, issued on Aug 23, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grants, NM. The record was last updated on Aug 23, 2014.