Individual provider · Type 1 NPI

Katie Rose Mattox, PharmD

Pharmacist · Old Lyme, CT

NPI number 1740873777 Active

Practice location

193 Boston Post Rd
Old Lyme, CT 06371-1312

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPCT.0010968 (CT)

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 1740873777

Katie Rose Mattox, PharmD's National Provider Identifier is 1740873777, issued on Feb 20, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Old Lyme, CT. The record was last updated on Feb 20, 2021.